Healthcare Provider Details

I. General information

NPI: 1417073347
Provider Name (Legal Business Name): ANSON REGIONAL MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7784 US HIGHWAY 52 S
MORVEN NC
28119-8313
US

IV. Provider business mailing address

PO BOX 192
WADESBORO NC
28170-0192
US

V. Phone/Fax

Practice location:
  • Phone: 704-851-9332
  • Fax:
Mailing address:
  • Phone: 704-694-6700
  • Fax: 704-694-5454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. GWENDOLYN ELISE REED
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MPA, RHIT
Phone: 704-695-1475