Healthcare Provider Details

I. General information

NPI: 1689654501
Provider Name (Legal Business Name): MERITER HEALTH ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 S PARK ST
MADISON WI
53715-1375
US

IV. Provider business mailing address

PO BOX 259993
MADISON WI
53725-9993
US

V. Phone/Fax

Practice location:
  • Phone: 608-417-8224
  • Fax: 608-287-2430
Mailing address:
  • Phone: 608-417-3700
  • Fax: 608-417-3766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

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