Provider Demographics
NPI:1326156027
Name:MERIT HEALTH CARE, PC
Entity Type:Organization
Organization Name:MERIT HEALTH CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GHAYAS
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:HABACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:256-249-0028
Mailing Address - Street 1:PO BOX 2038
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-5038
Mailing Address - Country:US
Mailing Address - Phone:256-249-0028
Mailing Address - Fax:256-249-0019
Practice Address - Street 1:729 BATTLE ST E
Practice Address - Street 2:
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2546
Practice Address - Country:US
Practice Address - Phone:256-761-2955
Practice Address - Fax:256-761-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17714207RN0300X, 207RN0300X
AL27019207R00000X
AL1-085891363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529927850Medicaid
AL51536048OtherBCBS - HABACH - CLINIC
ALI632Medicare PIN
ALI534Medicare PIN