ANDERSON REGIONAL MEDICAL CENTER (NPI# 1598105447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598105447 |
| Entity Type | Organization |
| Organization Name | ANDERSON REGIONAL MEDICAL CENTER |
| Other Organization Name | ANDERSON CHILDREN'S MEDICAL CLINIC |
| Practice Address |
1600 22nd Avenue Medical Towers 3, 3rd Floor, Suite B Meridian MS 39301 |
| Mailing Address |
2124 14th St Meridian MS 39301-4040 |
| Practice Telephone | 6017038370 |
| Practice Fax Number | 6017038397 |
| Mailing Telephone | 6017033480 |
| Mailing Fax Number | 6017030124 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | JOHN ANDERSON (CEO/PRESIDENT) |
| Authorized Official Telephone | 6015536000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00574313 | 05 |
| Other Name | Type Code |
|---|---|
| Anderson Children's Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1164078911 | Anderson Regional Medical Center | Obstetrics & Gynecology | 2420 11th St, Meridian, MS 39301-5033 | 2019-08-16 |
| 1376040121 | Anderson Regional Medical Center | Internal Medicine | 2124 14th St, Meridian, MS 39301-4040 | 2018-04-09 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ANDERSON REGIONAL MEDICAL CENTER | 2124 14th St, Meridian, MS 39301-4040 |
| Street Address |
1600 22ND AVENUE MEDICAL TOWERS 3, 3RD FLOOR, SUITE B |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124480033 | William Robert Justice Jr. | Pediatrics | 1600 22nd Avenue, Medical Towers 3, Third Floor, Suite B, Meridian, MS 39301 | 2016-03-22 |
| 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 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881632875 | Goodall-witcher Healthcare Foundation | Clinic/Center | 9295 Highway 6, Meridian, TX 76665 | 2006-06-03 |
| 1881059921 | East Central Mississippi Health Network Incorporated | Clinic/Center | 2514 67th Avenue Loop, Suite 112, Meridian, MS 39307 | 2015-12-16 |
| 1285073353 | Anderson Regional Medical Center | Clinic/Center | 2514 67th Avenue Loop, Suite 112, Meridian, MS 39307-7259 | 2013-06-21 |
| 1275879314 | Kemper Cah, Inc | Clinic/Center | 4331 Highway 39 N, Meridian, MS 39301-1007 | 2012-12-18 |
| 1811233950 | Rush Medical Foundation | Clinic/Center | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2012-12-18 |
| 1932362860 | Rush Care, Inc. | Clinic/Center | 1710 14th St, Meridian, MS 39301-4140 | 2008-07-10 |
| 1699735233 | Rush Care, Inc. | Clinic/Center | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2006-03-27 |
| 1649230111 | Rush Care, Inc. | Clinic/Center | 5009 Hwy 493, Meridian, MS 39305-1635 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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| 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.