ANDERSON PHYSICIAN ALLIANCE INC. NPI 1760798227

NPI Information

NPI: 1760798227
Provider Name: ANDERSON PHYSICIAN ALLIANCE, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2124 14TH ST
MERIDIAN, MS
ZIP 39301
Phone: (601) 703-3480
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ANDERSON PHYSICIAN ALLIANCE, INC. is a multi-specialty clinic center in Meridian, MS. ANDERSON PHYSICIAN ALLIANCE, INC. NPI is 1760798227. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2124 14TH ST
MERIDIAN, MS
ZIP 39301-040
Phone: (601) 703-3480
Fax: (601) 703-0124

The provider's authorized official is John Anderson .
The authorized official title is Ceo and has the following contact phone number (601) 703-5010.

The enumeration date for this NPI number is 8/23/2010 and was last updated on 6/16/2015.

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 State	Primary
1	207R00000X	Internal Medicine			No
2	261QM1300X	Clinic/Center	Multi-Specialty		No
3	208800000X	Urology			No
4	207Q00000X	Family Medicine			No
5	261QM1300X	Clinic/Center	Multi-Specialty	MISSISSIPPI	Yes

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
1	03604849	MEDICAID	MISSISSIPPI
2	127195	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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