Provider Demographics
NPI:1871535153
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 1:115 E MELROSE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2945
Practice Address - Country:US
Practice Address - Phone:410-435-9073
Practice Address - Fax:410-435-6824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30-044314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD302477600Medicaid
71-00099OtherUNITED - EVERCARE
08950OtherAMERIGROUP
240547OtherUNITED - MAMSI
MJ4OtherCAREFIRST - IND/PPO
0181371OtherAETNA-HMO
02B1OtherCAREFIRST PROV/INQ #
MJ4OtherCAREFIRST BLUECHOICE
240547OtherUNITED - MAMSI
MD302477600Medicaid
0181371OtherAETNA-HMO
71-00099OtherUNITED - EVERCARE
=========OtherKAISER
MJ4OtherCAREFIRST - IND/PPO
=========OtherCIGNA-MID-ATLANTIC
=========OtherAETNA-NONHMO
=========OtherCAREFIRST - TIN
=========OtherHNFS-TRICARE