Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Other names
Baptist Anderson Family Medical Center-Meridian
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M DUCKETT (SR VP / CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
1523 22ND AVE STE B, MERIDIAN, MS 39301-4016
(601) 703-8450
(601) 703-8459
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 703-3480
(601) 703-0124
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03651367
—
MS
05
—
209283
—
AL
01
—
555935
MEDICARE
MS
Enumeration date
12/08/2015
Last updated
08/16/2024
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