Provider Demographics
NPI:1568579985
Name:MERIT HEALTH CARE, PC
Entity Type:Organization
Organization Name:MERIT HEALTH CARE, PC
Other - Org Name:MERIT HEALTH CARE, PC
Other - Org Type:Former Legal Business Name
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 1:291 JAMES PAYTON BLVD
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-8047
Practice Address - Country:US
Practice Address - Phone:256-249-0028
Practice Address - Fax:256-249-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17714207RN0300X, 207RN0300X
ALA0512010363LA2200X
AL30497207R00000X
AL258213E00000X
AL1-028496363LA2100X
AL1-085891363LF0000X
AL1-117863364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529908510Medicaid
AL51504549OtherBCBS HABACH SYLACAUGA
AL4675830001Medicare NSC
AL51504549OtherBCBS HABACH SYLACAUGA