Provider Demographics
NPI:1801268891
Name:MERITAS HEALTH CORPORATION
Entity type:Organization
Organization Name:MERITAS HEALTH CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:109 N BLUE JAY DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-1906
Mailing Address - Country:US
Mailing Address - Phone:816-691-1424
Mailing Address - Fax:
Practice Address - Street 1:109 N BLUE JAY DR
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-1906
Practice Address - Country:US
Practice Address - Phone:816-691-1424
Practice Address - Fax:816-480-4511
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERITAS HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-29
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA5851Medicare UPIN