FIELD MEMORIAL COMMUNITY HOSPITAL


Address: 178 Highway 24 E Ste A, Centreville, MS 39631-4171
Phone: 6018900520

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
LA 1444669 05
MS 09016302 05
CAHABA C02787 01

Other Provider/Organization Names

Other Name Type Code
Centreville Clinic Doing Business As Name - Organization
FMCH Field Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities FIELD MEMORIAL COMMUNITY HOSPITAL 178 Highway 24 E, Centreville, MS 39631-4171

Office Location

Street Address 178 HIGHWAY 24 E STE A
City CENTREVILLE
State MS
Zip Code 39631-4171

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730786120 Ochsner Medical Center - Hancock, LLC Clinic/Center 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 2020-10-08
1306460282 Covington County Hospital Clinic/Center 105 Eaton St, Taylorsville, MS 39168-5614 2020-06-05
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
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Competitor

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City CENTREVILLE
Zip Code 39631

Improve Information

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Dataset Information

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.

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