Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Other names
Baptist Anderson Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M DUCKETT (SR VP / CLO)
(901) 227-5233
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
—
000020046
BLUE CROSS OF MS
MS
05
—
00020046
—
MS
01
—
010-190
BLUE CROSS OF AL
AL
01
—
01JAMS
UNITED HEALTHCARE
—
01
—
250104B000000
UNDOCUMENTED ALIENS
—
05
—
JEF0891N
—
AL
Enumeration date
05/26/2006
Last updated
08/15/2024
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