Provider Demographics
NPI:1346616000
Name:MERCHANT HEALTH SYSTEMS, INC.
Entity Type:Organization
Organization Name:MERCHANT HEALTH SYSTEMS, INC.
Other - Org Name:AFFINITY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-604-7281
Mailing Address - Street 1:72 WISTERIA LN
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-7303
Mailing Address - Country:US
Mailing Address - Phone:919-604-7281
Mailing Address - Fax:919-303-6006
Practice Address - Street 1:1342 N BRIGHTLEAF BLVD STE B
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-7388
Practice Address - Country:US
Practice Address - Phone:919-604-7281
Practice Address - Fax:919-303-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care