FIELD MEMORIAL COMMUNITY HOSPITAL (NPI# 1134166812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134166812 |
Entity Type | Organization |
Organization Name | FIELD MEMORIAL COMMUNITY HOSPITAL |
Other Organization Name | CENTREVILLE CLINIC |
Practice Address |
178 Highway 24 E Ste A Centreville MS 39631-4171 |
Practice Telephone | 6018900520 |
Practice Fax Number | 6016455088 |
Mailing Telephone | 6018900520 |
Mailing Fax Number | 6016455088 |
Enumeration Date | 2006-06-01 |
Last Update Date | 2019-09-12 |
Authorized Official Name | JEREMY CHAD NETTERVILLE (ADMINISTRATOR) |
Authorized Official Telephone | 6018900545 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1444669 | 05 | |
MS | 09016302 | 05 | |
CAHABA | C02787 | 01 |
Other Name | Type Code |
---|---|
Centreville Clinic | Doing Business As Name - Organization |
FMCH Field 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 |
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 |
1003148859 | Field Memorial Community Hospital | Family Medicine | 434 N Captain Gloster Dr, Gloster, MS 39638-3401 | 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 |
178 HIGHWAY 24 E STE A |
City | CENTREVILLE |
State | MS |
Zip Code | 39631-4171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972159994 | Jelks Family Pharmacy, LLC | Pharmacy | 1404 Academy St, Centreville, MS 39631 | 2019-08-15 |
1275946162 | James Hawley | Nurse Practitioner | 260 W Main Street, Centreville, MS 39631 | 2014-06-09 |
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 |
1245528785 | Se Mississippi Emergency Physicians LLC | Emergency Medicine | 270 West Main Street, Centreville, MS 39631 | 2011-07-19 |
1609105014 | King Louis Chambers | Public Health or Welfare | 506 E. Main St., Suite 2a, Centreville, MS 39631 | 2009-12-14 |
1710016233 | James L. Jelks Jr. | Pharmacist | 149 Main St., Centreville, MS 39631-0159 | 2007-03-02 |
1548244262 | Wilkinson County Nursing Center LLC | Skilled Nursing Facility | 166 S Lafayette St, Centreville, MS 39631-0310 | 2005-12-06 |
1992024459 | David Mcinnis Berry | Emergency Medicine | 270 W. Main St., Centreville, MS 39631-0639 | 2010-05-24 |
1053503318 | Wilkinson County Senior Care LLC | Skilled Nursing Facility | 166 S Lafayette St, Centreville, MS 39631-3571 | 2007-08-10 |
Find all providers in zip 39631 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1972532299 | The Bibb County Healthcare Authority | Clinic/Center | 208 Pierson Avenue, Centreville, AL 35042-2946 | 2006-06-30 |
1205108586 | Three Rivers Health System, Inc | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2012-02-02 |
1336416288 | Cahaba Medical Care of Al., LLC | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2011-11-21 |
1508840596 | Three Rivers Health Authority | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2005-12-02 |
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1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
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1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
Find all providers with the same taxonomy |
City | CENTREVILLE |
Zip Code | 39631 |
Please comment or provide details below to improve the information on FIELD MEMORIAL COMMUNITY HOSPITAL.
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.