Provider Demographics
NPI:1841828746
Name:MERITAS HEALTH CORPORATION
Entity type:Organization
Organization Name:MERITAS HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NETWORK EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COVENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-691-5287
Mailing Address - Street 1:2700 CLAY EDWARDS DR STE 240
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3254
Mailing Address - Country:US
Mailing Address - Phone:816-691-5287
Mailing Address - Fax:
Practice Address - Street 1:2800 CLAY EDWARDS DR
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3220
Practice Address - Country:US
Practice Address - Phone:816-691-2021
Practice Address - Fax:816-346-7690
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERITAS HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-28
Last Update Date:2020-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care