| Anderson Regional Medical Center | |
| 
					1056 Holland Ave Philadelphia MS 39350-9121  | |
| (601) 656-8545 | |
| (601) 656-3985 | 
| Full Name | Anderson Regional Medical Center | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1056 Holland Ave, Philadelphia, Mississippi | 
| Authorized Official Name and Position | Gregory M Duckett (SR VP / CLO) | 
| Authorized Official Contact | 9012275233 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anderson Regional Medical Center 2124 14th St Meridian MS 39301-4040 Ph: (601) 703-3480  | Anderson Regional Medical Center 1056 Holland Ave Philadelphia MS 39350-9121 Ph: (601) 656-8545  | 
| NPI Number | 1053750125 | 
|---|---|
| Provider Enumeration Date | 06/21/2013 | 
| Last Update Date | 08/16/2024 | 
| Medicare PECOS PAC ID | 4284548025 | 
|---|---|
| Medicare Enrollment ID | O20130823000675 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053750125 | NPI | - | NPPES | 
| 09014742 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Neshoba County General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Hospital Rd W, Philadelphia, MS 39350 Phone: 601-663-1210 Fax: 601-663-1211  | |
Neshoba County General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Stribling St, Philadelphia, MS 39350 Phone: 601-656-2672  | |
Neshoba Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Holland Ave, Suite 102, Philadelphia, MS 39350 Phone: 601-663-1423 Fax: 601-663-1474  | |
Mississippi Medical Arts Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Center Ave N, Philadelphia, MS 39350 Phone: 601-656-5815 Fax: 601-656-8510  | |
J. Todd Willis, Md Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Holland Avenue, Suite 104, Philadelphia, MS 39350 Phone: 601-656-0010 Fax: 601-656-0313  | |
Mississippi Band Of Choctaw Indians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Big Creek Cir, Philadelphia, MS 39350 Phone: 601-656-2211 Fax: 601-663-7721  |