Healthcare Provider Details

I. General information

NPI: 1982684239
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: 06/12/2009
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

Practice location:
  • Phone: 608-417-3700
  • Fax: 608-417-3766
Mailing address:
  • Phone: 608-417-3700
  • Fax: 608-417-3766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. STACEY L. SCHULZ
Title or Position: BILLING MANAGER
Credential:
Phone: 608-417-3758