NPIMap

Organization Active NPI

Anson Regional Medical Services , Inc

  • Health Maintenance Organization
  • Wadesboro, NC
National Provider Identifier
1669479077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ANSON REGIONAL MEDICAL SERVICES , INC
Practice address
203 Salisbury St
Wadesboro, NC 28170-2155
Phone
(704) 694-6700
Fax
(704) 694-5454
NPI assigned
Jun 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Gwendolyn Elise Reed, CEO
Title
Ceo
Phone
(704) 694-1475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NC Primary

Addresses

Primary practice location

203 Salisbury St
Wadesboro, NC 28170-2155

Mailing address

203 Salisbury St
Wadesboro, NC 28170-2155
Phone (704) 694-1475

Other identifiers 2

IdentifierTypeStateIssuer
891359AMedicaidNC
1359AOtherNCBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Anson Regional Medical Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669479077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SALISBURY ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702155",
            "telephone_number": "704-694-1475",
            "fax_number": "704-694-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SALISBURY ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702155",
            "telephone_number": "704-694-6700",
            "fax_number": "704-694-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANSON REGIONAL MEDICAL SERVICES , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-694-1475",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891359A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1359A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.