# ANDERSON REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anderson Regional Medical Center South Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073759494
- **Authorized official:** MR. KEITH HEARTSILL (CFO)
- **Authorized official phone:** (601) 553-6104

## Contact information

- **Practice address:** 1102 CONSTITUTION AVE, MERIDIAN, MS 39301-4001
- **Practice address phone:** (601) 553-6647
- **Practice address fax:** (601) 553-6115
- **Mailing address:** 2124 14TH ST, MERIDIAN, MS 39301-4040
- **Mailing address phone:** (601) 553-6000
- **Mailing address fax:** (601) 553-6848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 08/05/2013