Provider Demographics
NPI:1972550168
Name:MERIDIAN HEALTH, INC.
Entity type:Organization
Organization Name:MERIDIAN HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:613 HAMMONDS LN
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MD
Practice Address - Zip Code:21225-3351
Practice Address - Country:US
Practice Address - Phone:410-636-3400
Practice Address - Fax:410-636-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02-009314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD026227700Medicaid
08903OtherAMERIGROUP
MJ3OtherCAREFIRST BLUECHOICE
71-00220OtherUNITED - EVERCARE
02B8OtherCAREFIRST-PROV/ONQ#
181362OtherAETNA-HMO
241377OtherUNITED - MAMSI
MJ3OtherCAREFIRST IND/PPO
=========OtherJOHNS HOPKINS
=========OtherMARYLAND PHYSICIAN CARE
MJ3OtherCAREFIRST BLUECHOICE
241377OtherUNITED - MAMSI
=========OtherAETNA-NONHMO
=========OtherHELIXCARE (MEDSTAR)
MJ3OtherCAREFIRST IND/PPO
08903OtherAMERIGROUP
=========OtherKAISER
=========OtherCOVENTRY