Provider Demographics
NPI:1700325743
Name:ANSON REGIONAL MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:ANSON REGIONAL MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-694-6700
Mailing Address - Street 1:203 SALISBURY ST
Mailing Address - Street 2:PO BOX 192
Mailing Address - City:WADESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28170-2155
Mailing Address - Country:US
Mailing Address - Phone:704-694-6700
Mailing Address - Fax:704-695-1475
Practice Address - Street 1:722 E US HIGHWAY 74
Practice Address - Street 2:SUITE E FALLING CREEK SHOPPING CENTER
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4981
Practice Address - Country:US
Practice Address - Phone:704-694-6700
Practice Address - Fax:704-695-1475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care