Provider Demographics
NPI:1730730110
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 1:1103 S. 169 HIGHWAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:SMITHVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64089
Mailing Address - Country:US
Mailing Address - Phone:816-691-5340
Mailing Address - Fax:816-346-7054
Practice Address - Street 1:1103 S. 169 HIGHWAY
Practice Address - Street 2:SUITE C
Practice Address - City:SMITHVILLE
Practice Address - State:MO
Practice Address - Zip Code:64089
Practice Address - Country:US
Practice Address - Phone:816-691-5340
Practice Address - Fax:816-346-7054
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERITAS HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-26
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty