MEDICARE: MERIDIAN HEALTHCARE

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy
1	175T00000X	Peer Specialist
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
3	164W00000X	Licensed Practical Nurse
4	101YA0400X	Addiction (Substance Use Disorder) Counselor
5	104100000X	Social Worker
6	171M00000X	Case Manager/Care Coordinator
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
8	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse
9	101Y00000X	Counselor
10	172V00000X	Community Health Worker
11	1041C0700X	Clinical Social Worker
12	2084P0800X	Psychiatry Physician
13	101YP2500X	Professional Counselor
14	405300000X	Prevention Professional
15	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

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

NPI Number	:	1356307235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERIDIAN HEALTHCARE

Provider Business Mailing Address
First Line	:	527 N MERIDIAN RD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44509-1227
Country	:	US
Telephone Number	:	330-797-0070
Fax Number	:	330-797-9146

Provider Business Practice Location Address
First Line	:	527 N MERIDIAN RD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44509-1227
Country	:	US
Telephone Number	:	330-797-0070
Fax Number	:	330-797-9146

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DARLA GALLAGHER
Credential	:
Telephone Number	:	330-797-0070

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	11/04/2025