Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Other names
Baptist Anderson Family Medical Center-Enterprise
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M DUCKETT (SR VP / CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
83A OLD MILL CREEK RD, ENTERPRISE, MS 39330-9649
(601) 704-1020
(601) 704-1021
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 703-3480
(601) 703-0124
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04276719
—
MS
Enumeration date
06/21/2013
Last updated
08/16/2024
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