Provider Demographics
NPI:1447877154
Name:MERITAS HEALTH CORPORATION
Entity type:Organization
Organization Name:MERITAS HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NETWORK EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COVENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-691-2021
Mailing Address - Street 1:2700 CLAY EDWARDS DR STE 240
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3254
Mailing Address - Country:US
Mailing Address - Phone:816-691-2021
Mailing Address - Fax:816-346-7690
Practice Address - Street 1:10161 N AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-1366
Practice Address - Country:US
Practice Address - Phone:816-421-4115
Practice Address - Fax:816-421-4152
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERITAS HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty