| Baptist Anderson Family Medical Center-airpark | |
|
1056 Holland Ave Philadelphia MS 39350-9121 | |
| (601) 656-8545 | |
| (601) 656-3985 |
| Full Name | Baptist Anderson Family Medical Center-airpark |
|---|---|
| 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 |
|---|---|
| Baptist Anderson Family Medical Center-airpark 2124 14th St Meridian MS 39301-4040 Ph: (601) 703-3480 | Baptist Anderson Family Medical Center-airpark 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 |
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