Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Other names
Riverbirch Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANDERSON (VP)
(601) 703-5010
Entity
Organization
Contact information
Practice address
2514 67TH AVENUE LOOP, SUITE 112, MERIDIAN, MS 39307-7259
(601) 553-0707
(601) 553-0775
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00756211
—
MS
Enumeration date
06/21/2013
Last updated
06/03/2014
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