MEDICARE: MERIDIAN HEALTH SERVICES CORP.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1760283881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERIDIAN HEALTH SERVICES CORP.

Provider Business Mailing Address
First Line	:	240 N TILLOTSON AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-3988
Country	:	US
Telephone Number	:	765-288-1928
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 MCKINNIE AVE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46806-4975
Country	:	US
Telephone Number	:	765-288-1928
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	SCOTT RIGGS
Credential	:
Telephone Number	:	765-254-5189

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	03/24/2025

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Directions to “MERIDIAN HEALTH SERVICES CORP. ” Practice Location

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