Organization · Type 2 NPI

Meridian Health Services Corp

Substance Abuse Rehabilitation Facility · Richmond, IN

NPI number 1073058772 Active

Practice location

498 NW 18th St Bldg 416
Richmond, IN 47374

Call (765) 288-1928 Map

Fax (765) 741-0335

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Another provider at this address

Brandon WaterburyMental Health Counselor Richmond, IN NPI 1376010173

Other substance abuse rehabilitation facility providers in Richmond

See all in Richmond →

NPI record

NPI: 1073058772
Entity type: Organization (Type 2)
Issued: Jan 4, 2017
Last updated: Jul 11, 2018
Status: Active

Other names

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Residential Substance Abuse Treatment Program · other name
Residential Substance Abuse Treatment Program · other name

Authorized official

Kirk Shafer
CFO/vp
(765) 288-1928

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073058772

Meridian Health Services Corp's National Provider Identifier is 1073058772, issued on Jan 4, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Richmond, IN. The record was last updated on Jul 11, 2018.