ANDERSON REGIONAL MEDICAL CENTER


Address: 2124 14th St, Meridian, MS 39301-4040
Phone: 6017033480

ANDERSON REGIONAL MEDICAL CENTER (NPI# 1376040121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376040121
Entity Type Organization
Organization Name ANDERSON REGIONAL MEDICAL CENTER
Other Organization Name ANDERSON MULTISPECIALTY PROVIDERS
Practice Address 2124 14th St
Meridian
MS 39301-4040
Practice Telephone 6017033480
Practice Fax Number 6017030124
Mailing Telephone 6017033480
Mailing Fax Number 6017030124
Enumeration Date 2018-04-09
Last Update Date 2018-04-09
Authorized Official Name JOHN ANDERSON (CEO/PRESIDENT)
Authorized Official Telephone 6015536104
Is Organization Subpart Y
Parent Organization Name ANDERSON REGIONAL MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Anderson Multispecialty Providers Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912305988 Anderson Regional Medical Center Family Medicine 6694 Poplar Springs Drive, Meridian, MS 39305 2014-12-08
1598105447 Anderson Regional Medical Center Clinic/Center 1600 22nd Avenue, Medical Towers 3, 3rd Floor, Suite B, Meridian, MS 39301 2013-06-25
1164078911 Anderson Regional Medical Center Obstetrics & Gynecology 2420 11th St, Meridian, MS 39301-5033 2019-08-16
1043764699 Anderson Regional Medical Center Radiology 2124 14th St, Meridian, MS 39301-4040 2016-08-12
1710352356 Anderson Regional Medical Center Clinic/Center 1523 22nd Ave Ste B, Meridian, MS 39301-4016 2015-12-08
1598104671 Anderson Regional Medical Center Clinic/Center 1404 E Pushmataha St, Butler, AL 36904-2728 2013-06-21
1053750125 Anderson Regional Medical Center Clinic/Center 1056 Holland Ave, Philadelphia, MS 39350-9121 2013-06-21
1285073353 Anderson Regional Medical Center Clinic/Center 2514 67th Avenue Loop, Suite 112, Meridian, MS 39307-7259 2013-06-21
1356780423 Anderson Regional Medical Center Clinic/Center 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 2013-06-21
1558619171 Anderson Regional Medical Center Medicare Defined Swing Bed Unit 1102 Constitution Avenue, Meridian, MS 39301-4001 2012-08-29

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ANDERSON REGIONAL MEDICAL CENTER 2124 14th St, Meridian, MS 39301-4040

Office Location

Street Address 2124 14TH ST
City MERIDIAN
State MS
Zip Code 39301-4040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932181146 Deborah Sims Parten Nurse Anesthetist, Certified Registered 2124 14th St, Suite 202, Meridian, MS 39301-4040 2005-11-15
1023624467 Lekica Roshelle Boyd Nurse Practitioner 2124 14th St, Meridian, MS 39301-4040 2020-09-21
1437768272 Elaine Blount Rigdon Nurse Practitioner 2124 14th St, Meridian, MS 39301-4040 2020-07-28
1801405923 Melinda Bozeman Registered Nurse 2124 14th St, Meridian, MS 39301-4040 2020-07-24
1952936213 Kevin Hatcher Registered Nurse 2124 14th St, Meridian, MS 39301-4040 2020-03-06
1790325124 Nancy Lynn Brown Nurse Practitioner 2124 14th St, Meridian, MS 39301-4040 2020-01-14
1023658705 Corinna Lynn Dorais Dietitian, Registered 2124 14th St, Meridian, MS 39301-4040 2020-01-10
1962045765 Melissa Dedeaux Registered Nurse 2124 14th St, Meridian, MS 39301-4040 2019-10-24
1245889807 Jamie Agent Nurse Practitioner 2124 14th St, Meridian, MS 39301-4040 2019-09-06
1750846473 Jessica Lewis Nurse Practitioner 2124 14th St, Meridian, MS 39301-4040 2019-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407460439 Kayla Lee Monsour Pharmacist 1415 24th Avenue, Meridian, MS 39301 2020-09-08
1306478359 K&r Optical Solutions Corporation Eyewear Supplier (Equipment, not the service) 3126 8th St., Suite A, Meridian, MS 39301 2020-02-07
1912537317 Courtney M Hollie Counselor 1054 Ms-19, Meridian, MS 39301 2020-01-24
1932636495 Rcg Mississippi, Inc. Clinic/Center 1300 38th Ave E, Meridian, MS 39301 2017-05-16
1811428915 Tierria Mcglothin Nurse Practitioner 1054 Highway 19 S, Meridian, MS 39301 2017-03-21
1154869303 Lindsay Nemanich Physical Therapist 3716 Ms-39, Meridian, MS 39301 2017-02-08
1700323599 Wal-mart Stores East Lp Pharmacy 3310-a Highway 39 North, Meridian, MS 39301 2017-01-31
1972977460 Southeast Pharmacy LLC Pharmacy 2402 Long Creek Road, Meridian, MS 39301 2015-11-20
1235508342 East Mississippi Oral & Facial Surgery, LLC Clinic/Center 1212 24th Avenue, Meridian, MS 39301 2015-09-18
1831580778 Clarkdale Pharmacy and Gifts LLC Pharmacy 6935c Hwy 145, Meridian, MS 39301 2015-02-13
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1609327022 Finding Home Healthcare, Inc. Clinic/Center 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 2016-10-20
1386009835 Teton Healthcare, Inc. Clinic/Center 63 W Willowbrook Dr, Meridian, ID 83646-1656 2015-12-29
1346522653 East Mississippi State Hospital Clinic/Center 1818 College Drive, Meridian, MS 39307-5429 2011-09-13
1558679902 Physician Group Clinic/Center 4555 Highland Park Dr, Meridian, MS 39307-5429 2010-09-20
1104045392 Saint Alphonsus Regional Medical Center Inc Clinic/Center 3025 W Cherry Ln, Suite D, Meridian, ID 83642 2007-04-25

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NPI Name Taxonomy Address Enumeration
1487201372 Caleb Mountain Climbing Wholistic International Center LLC Clinic/Center 610 Adeline St Ste 1a, Hattiesburg, MS 39401-3875 2019-08-24
1700440369 Gentle Hands Healthcare LLC Clinic/Center 135 Oak Meadow Dr, Clinton, MS 39056-6044 2019-04-29
1629530795 A Port In The Storm (apits) Clinic/Center 102 N. Cass Street, Suite B, Corinth, MS 38834 2019-04-05
1730502055 Hancock Medical Health Services Clinic/Center 5435 Gex Road, Diamondhead, MS 39525 2014-01-22
1538478870 Hancock Medical Health Services, Inc. Clinic/Center 100 Hancock Square Dr, Bay St Louis, MS 39520-1632 2010-10-05
1629287719 Singing River Health System Clinic/Center 7001 Highway 614, Moss Point, MS 39562 2007-05-22
1164422580 Mississippi University for Women Clinic/Center 620 10th St South, Cromwell Bldg Room 129, Columbus, MS 39701 2005-07-28
1578129177 Madison Hma LLC Clinic/Center 161 River Oaks Dr, Canton, MS 39046-5375 2019-05-20
1902361660 Sog Physical Therapy Clinic/Center 1211 S Gloster St Ste C, Tupelo, MS 38801-6535 2019-02-07
1558897744 Asa LLC Clinic/Center 1924 30th Ave, Gulfport, MS 39501-4534 2017-05-07
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Competitor

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City MERIDIAN
Zip Code 39301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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