ANDERSON REGIONAL MEDICAL CENTER (NPI# 1710352356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710352356 |
Entity Type | Organization |
Organization Name | ANDERSON REGIONAL MEDICAL CENTER |
Other Organization Name | ANDERSON EXPRESS CARE CLINIC |
Practice Address |
1523 22nd Ave Ste B Meridian MS 39301-4016 |
Mailing Address |
2124 14th St Meridian MS 39301-4040 |
Practice Telephone | 6017038450 |
Practice Fax Number | 6017038459 |
Mailing Telephone | 6017033480 |
Mailing Fax Number | 6017030124 |
Enumeration Date | 2015-12-08 |
Last Update Date | 2019-05-07 |
Authorized Official Name | JOHN ANDERSON (CEO) |
Authorized Official Telephone | 6017035010 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 209283 | 05 | |
MS | 03651367 | 05 | |
MS | MEDICARE | 555935 | 01 |
Other Name | Type Code |
---|---|
Anderson Express Care 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 |
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 |
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 |
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 |
1523 22ND AVE STE B |
City | MERIDIAN |
State | MS |
Zip Code | 39301-4016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356504872 | Robert Ira Eubanks | Pediatrics | 1523 22nd Ave Ste B, Meridian, MS 39301-4016 | 2008-07-03 |
1558910760 | Kristen Marie Deason | Nurse Practitioner | 1523 22nd Ave Ste B, Meridian, MS 39301-4016 | 2019-09-10 |
1427282599 | Toni T. Harris | Nurse Practitioner | 1523 22nd Ave Ste B, Meridian, MS 39301 | 2009-05-05 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437788908 | Wellness Center | Clinic/Center | 1727 6th St, Meridian, MS 39301-5249 | 2020-04-06 |
1790284693 | The Clarkdale Clinic, LLC | Clinic/Center | 6905 Highway 145 S, Meridian, MS 39301-9771 | 2018-02-06 |
1952739229 | Meridian Weight Management Center | Clinic/Center | 1715 23rd Ave, Meridian, MS 39301-3104 | 2013-10-24 |
1750512877 | Marianne Zakarian, M.d., P.C. | Clinic/Center | 2536 N Stokesberry Pl, Meridian, ID 83646-1144 | 2009-08-06 |
1316113368 | Upper Cervical Clinics of Idaho | Clinic/Center | 3023 E Copper Point Dr Ste 104, Meridian, ID 83642-1740 | 2008-04-30 |
1801919204 | Meridian Pediatrics | Clinic/Center | 3653 N Locust Grove Rd, Meridian, ID 83646-5924 | 2007-04-09 |
1205996063 | Idaho Minor Emergency and Family Practice Pa | Clinic/Center | 3041 East Copper Pointe Drive, Meridian, ID 83642 | 2006-12-11 |
1093038234 | Magnolia Clinic | Clinic/Center | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-03-02 |
1083852982 | Embrace Wellness | Clinic/Center | 1943 N Locust Grove Rd, Meridian, ID 83646 | 2009-01-30 |
1962622019 | Communicare, Inc | Clinic/Center | 40 W Franklin Rd, Suite F, Meridian, ID 83642-2965 | 2007-04-30 |
Find all providers in MERIDIAN |
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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.