Provider Demographics
NPI:1386020535
Name:MERITAS HEALTH CORPORATION
Entity Type:Organization
Organization Name:MERITAS HEALTH CORPORATION
Other - Org Name:MERITAS HEALTH LANDMARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:REINTJES
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:816-691-5287
Mailing Address - Street 1:10161 N AMBASSADOR DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64153-1366
Mailing Address - Country:US
Mailing Address - Phone:816-464-2333
Mailing Address - Fax:816-464-5272
Practice Address - Street 1:10161 N AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-1366
Practice Address - Country:US
Practice Address - Phone:816-464-2333
Practice Address - Fax:816-464-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1386020535Medicaid
MOMA5756Medicare UPIN