Healthcare Provider Details
I. General information
NPI: 1922690627
Provider Name (Legal Business Name): MERITAS HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2021
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2790 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY MO
64116-3274
US
IV. Provider business mailing address
2790 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY MO
64116-3274
US
V. Phone/Fax
- Phone: 816-691-5048
- Fax: 816-346-7039
- Phone: 816-691-5048
- Fax: 816-346-7039
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083B0002X |
| Taxonomy | Obesity Medicine (Preventive Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDA
COVENTON
Title or Position: NETWORK EXECUTIVE
Credential:
Phone: 816-691-5287