| NPI | 1629473053 |
|---|---|
| Doing Business As | MERIDIAN HEALTH PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KIRK SHAFER C.F.O. 765-288-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2019-04-18 |