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Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Other names
Prof Fees-CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANDERSON (CHIEF EXECUTIVE OFFICER)
(601) 553-6000
Entity
Organization
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 553-6115
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 553-6115
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
13237
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019046A
BLUE CROSS OF MS
MS
05
—
09010939
—
MS
05
—
529908690
—
AL
Enumeration date
04/19/2007
Last updated
09/25/2014
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