| Meritus Medical Center Inc | |
|
11116 Medical Campus Rd Suite 2989 Hagerstown MD 21742-6710 | |
| (301) 766-7600 | |
| (301) 797-9480 |
| Full Name | Meritus Medical Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11116 Medical Campus Rd, Hagerstown, Maryland |
| Authorized Official Name and Position | Joshua Repac (CFO) |
| Authorized Official Contact | 3017909351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meritus Medical Center Inc 11116 Medical Campus Rd Hagerstown MD 21742-6710 Ph: (301) 797-2000 | Meritus Medical Center Inc 11116 Medical Campus Rd Suite 2989 Hagerstown MD 21742-6710 Ph: (301) 766-7600 |
| NPI Number | 1659396851 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659396851 | NPI | - | NPPES |
| K025 | Other | MD | BLUECROSS-MARYLAND |
| 794060200 | Medicaid | MD | |
| W767 | Other | MD | BLUECROSS-FEP/GHMSI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 21-012 (Maryland) | Primary |
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