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NPI Code Detail

MEDICARE: MERIDIA MEDICAL GROUP, LLC

MEDICARE: MERIDIA MEDICAL GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194900803
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIDIA MEDICAL GROUP, LLC
Provider Business Mailing Address
First Line : 275 SPRINGSIDE DR STE 100
Second Line :
City : AKRON
State : OH
Zip : 44333-4549
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2999 MCMACKIN RD
Second Line :
City : MADISON
State : OH
Zip : 44057-2330
Country : US
Telephone Number : 440-428-1111
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL O'CONNELL
Credential :
Telephone Number : 216-761-3582
Provider Enumeration Date : 01/02/2008
Last Update Date : 01/02/2008

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Directions to “MERIDIA MEDICAL GROUP, LLC ” Practice Location

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