Healthcare Provider Details
I. General information
NPI: 1427038777
Provider Name (Legal Business Name): MERITER HEALTH ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2006
Last Update Date: 05/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2180 W BELTLINE HWY
MADISON WI
53713-2340
US
IV. Provider business mailing address
PO BOX 259993
MADISON WI
53725-9993
US
V. Phone/Fax
- Phone: 608-417-3700
- Fax: 608-417-3766
- Phone: 608-417-3700
- Fax: 608-417-3766
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 222 |
| License Number State | WI |
VIII. Authorized Official
Name:
ROBYN
J.
STECKEL
Title or Position: BILLING MANAGER
Credential:
Phone: 608-417-3758