# ANDERSON REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Anderson Family Medical Center-Meridian
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710352356
- **Authorized official:** GREGORY M DUCKETT (SR VP / CLO)
- **Authorized official phone:** (901) 227-5233

## Contact information

- **Practice address:** 1523 22ND AVE STE B, MERIDIAN, MS 39301-4016
- **Practice address phone:** (601) 703-8450
- **Practice address fax:** (601) 703-8459
- **Mailing address:** 2124 14TH ST, MERIDIAN, MS 39301-4040
- **Mailing address phone:** (601) 703-3480
- **Mailing address fax:** (601) 703-0124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2015
- **Last updated:** 08/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03651367 | — | MS |
| 05 | — | 209283 | — | AL |
| 01 | — | 555935 | MEDICARE | MS |