ANDERSON REGIONAL MEDICAL CENTER NPI 1356780423

NPI Information

  • NPI: 1356780423
  • Provider Name: ANDERSON REGIONAL MEDICAL CENTER
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: BAPTIST ANDERSON FAMILY MEDICAL CENTER-ENTERPRISE
  • CLIA Number: 25D2278650
  • Address: 83A OLD MILL CREEK RD
    ENTERPRISE, MS
    ZIP 39330
  • Phone: (601) 704-1020

Map and Directions

Get Directions

NPI Details

ANDERSON REGIONAL MEDICAL CENTER is a rural health clinic center in Enterprise, MS. ANDERSON REGIONAL MEDICAL CENTER NPI is 1356780423. The provider is registered as an organization entity type.
The provider Is Doing Business As Baptist Anderson Family Medical Center-enterprise.

The provider's business location address is:

83A OLD MILL CREEK RD
ENTERPRISE, MS
ZIP 39330-649
Phone: (601) 704-1020
Fax: (601) 704-1021

The provider's authorized official is Gregory M Duckett .
The authorized official title is Sr Vp / Clo and has the following contact phone number (901) 227-5233.

The CLIA number assigned to this NPI record is 25D2278650 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2013 and was last updated on 8/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104276719MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI