Provider Demographics
NPI:1689654501
Name:MERITER HEALTH ENTERPRISES, INC
Entity Type:Organization
Organization Name:MERITER HEALTH ENTERPRISES, INC
Other - Org Name:HOMESTRETCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-417-3758
Mailing Address - Street 1:PO BOX 259993
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53725-9993
Mailing Address - Country:US
Mailing Address - Phone:608-417-3700
Mailing Address - Fax:608-417-3766
Practice Address - Street 1:1 S PARK ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1375
Practice Address - Country:US
Practice Address - Phone:608-417-8224
Practice Address - Fax:608-287-2430
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERITER HEALTH ENTERPRISES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-18
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0294650003Medicare ID - Type Unspecified