FIELD MEMORIAL COMMUNITY HOSPITAL (NPI# 1003148859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003148859 |
| Entity Type | Organization |
| Organization Name | FIELD MEMORIAL COMMUNITY HOSPITAL |
| Other Organization Name | FMCH GLOSTER CLINIC |
| Practice Address |
434 N Captain Gloster Dr Gloster MS 39638-3401 |
| Mailing Address |
270 W Main Street Centreville MS 39631 |
| Practice Telephone | 6012244711 |
| Mailing Telephone | 6016455221 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | JEREMY CHAD NETTERVILLE (CEO) |
| Authorized Official Telephone | 6016455221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1445096 | 05 |
| Other Name | Type Code |
|---|---|
| FMCH Gloster Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669818480 | Field Memorial Community Hospital | Family Medicine | 1410 Main St. East, Liberty, MS 39645-0514 | 2013-05-20 |
| 1730342643 | Field Memorial Community Hospital | Internal Medicine | 270 W Main Street, Centreville, MS 39631 | 2008-07-10 |
| 1184806747 | Field Memorial Community Hospital | Nurse Practitioner | 143 West Howard St, Centreville, MS 39631 | 2007-12-05 |
| 1134166812 | Field Memorial Community Hospital | Internal Medicine | 178 Highway 24 E Ste A, Centreville, MS 39631-4171 | 2006-06-01 |
| 1144274622 | Field Memorial Community Hospital | Family Medicine | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2006-05-20 |
| 1770574048 | Field Memorial Community Hospital | General Acute Care Hospital | 178 Highway 24 E, Centreville, MS 39631-4171 | 2005-11-04 |
| 1629465224 | Field Memorial Community Hospital | Internal Medicine | 178 Highway 24 E, Centreville, MS 39631-4171 | 2015-04-21 |
| 1194057943 | Field Memorial Community Hospital | Internal Medicine | 451 Bank St, Woodville, MS 39669-6000 | 2010-02-04 |
| 1023340874 | Field Memorial Community Hospital | Surgery | 260 E Main St, Centreville, MS 39631-4200 | 2010-02-04 |
| 1871633347 | Field Memorial Community Hospital | General Acute Care Hospital | 178 Highway 24 E, Centreville, MS 39631-4171 | 2007-02-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIELD MEMORIAL COMMUNITY HOSPITAL | 178 Highway 24 E, Centreville, MS 39631-4171 |
| Street Address |
434 N CAPTAIN GLOSTER DR |
| City | GLOSTER |
| State | MS |
| Zip Code | 39638-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144274622 | Field Memorial Community Hospital | Family Medicine | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2006-05-20 |
| 1114567617 | Kristen Gordon | Nurse Practitioner | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2020-01-13 |
| 1861862963 | Ashley Dillon | Nurse Practitioner | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2015-10-01 |
| 1750653382 | Lesa Colleen Whitehead | Nurse Practitioner | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2012-01-27 |
| 1427086636 | James C Leak | Family Medicine | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700108578 | Amite County Medical Services, Inc. | Clinic/Center | 253 East Main Street, Gloster, MS 39638 | 2010-02-22 |
| 1376876425 | Vivian Yvette Johnson | Marriage & Family Therapist | 150 Old Liberty Road, Gloster, MS 39638 | 2009-09-08 |
| 1861625295 | Linda Mclain Sterling | Speech-Language Pathologist | 154 Cassels, Gloster, MS 39638 | 2009-09-02 |
| 1578776647 | Amite County School District | Registered Nurse | 154 Railroad and Cassels, Gloster, MS 39638 | 2007-05-07 |
| 1104901339 | King & Mcnulty LLC | Pharmacy | 434 B South Captian Gloster Dr, Gloster, MS 39638 | 2006-10-26 |
| 1417965740 | King and Mcnulty, LLC | Pharmacy | 434 B South Captain Gloster Drive, Gloster, MS 39638 | 2006-08-03 |
| 1629241542 | Downtown Drug LLC | Pharmacy | 129 Main Street, Gloster, MS 39638 | 2008-04-11 |
| 1659846129 | Simmons T Copeland | Nurse Practitioner | 434 North Captain Drive, Gloster, MS 39638-3401 | 2018-10-10 |
| 1568652295 | James Warren Hollingsworth | Pharmacist | 434b N Captain Gloster Dr, Gloster, MS 39638-3401 | 2007-07-30 |
| 1952827560 | Shelia Anderson | Psychologist | 480 S Captain Gloster Dr, Gloster, MS 39638-3700 | 2017-08-15 |
| Find all providers in zip 39638 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144274622 | Field Memorial Community Hospital | Family Medicine | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2006-05-20 |
| 1427086636 | James C Leak | Family Medicine | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.