Provider Demographics
NPI:1356860050
Name:MERAKEY TOTAL HEALTH
Entity Type:Organization
Organization Name:MERAKEY TOTAL HEALTH
Other - Org Name:MERAKEY TOTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO MERAKEY TOTAL HEALTH
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:THRENHAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-514-6624
Mailing Address - Street 1:906 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:ERDENHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7731
Mailing Address - Country:US
Mailing Address - Phone:215-836-3131
Mailing Address - Fax:215-273-5975
Practice Address - Street 1:620 GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-1810
Practice Address - Country:US
Practice Address - Phone:215-836-3131
Practice Address - Fax:215-273-5975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)