FIELD MEMORIAL COMMUNITY HOSPITAL (NPI# 1629465224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629465224 |
| Entity Type | Organization |
| Organization Name | FIELD MEMORIAL COMMUNITY HOSPITAL |
| Other Organization Name | FIELD SPECIALTY CLINIC |
| Practice Address |
178 Highway 24 E Centreville MS 39631-4171 |
| Practice Telephone | 6016455221 |
| Mailing Telephone | 6016455221 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | JEREMY NETTERVILLE (CEO) |
| Authorized Official Telephone | 6016455221 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIELD MEMORIAL COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Field Specialty 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 |
| 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 |
| City | CENTREVILLE |
| State | MS |
| Zip Code | 39631-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770574048 | Field Memorial Community Hospital | General Acute Care Hospital | 178 Highway 24 E, Centreville, MS 39631-4171 | 2005-11-04 |
| 1811507114 | Amber Smith Flowers | Nurse Practitioner | 178 Highway 24 E, Centreville, MS 39631-4171 | 2020-08-03 |
| 1962940544 | Kathleen Rouprich Huff | Physician Assistant | 178 Highway 24 E, Centreville, MS 39631-4171 | 2017-02-03 |
| 1871633347 | Field Memorial Community Hospital | General Acute Care Hospital | 178 Highway 24 E, Centreville, MS 39631-4171 | 2007-02-07 |
| 1548217847 | Richard J Field IIi | Surgery | 178 Highway 24 E, Centreville, MS 39631-4171 | 2006-05-30 |
| 1447217526 | Field Memorial Community Hospital | Medicare Defined Swing Bed Unit | 178 Highway 24 E, Centreville, MS 39631-4171 | 2006-05-01 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013208958 | Moungar Elton Cooper | Surgery | 5900 Bond Ave, Centreville, IL 62207-2326 | 2011-04-26 |
| 1023340874 | Field Memorial Community Hospital | Surgery | 260 E Main St, Centreville, MS 39631-4200 | 2010-02-04 |
| 1548217847 | Richard J Field IIi | Surgery | 178 Highway 24 E, Centreville, MS 39631-4171 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669041 | North Mississippi Medical Center Inc | Surgery | 499 S Gloster St Ste E, Tupelo, MS 38801-5539 | 2020-11-02 |
| 1285234104 | North Mississippi Medical Center, Inc. | Surgery | 499 Gloster Creek Vlg Ste S-3, Tupelo, MS 38801-4600 | 2020-10-29 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1740798503 | Cld Medical Enterprises Pllc | Surgery | 212 Draperton Ct Ste A, Ridgeland, MS 39157-3905 | 2018-01-15 |
| 1568912228 | Capel Surgical Clinic, LLC | Surgery | 406 E. Washington St., Greenwood, MS 38930 | 2016-10-06 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| 1629477526 | Berry Enterprises LLC | Surgery | 756 Luckney Rd, Brandon, MS 39042-8703 | 2014-08-15 |
| 1649687906 | Almaz Kurbanov | Surgery | 1127 Earl Frye Blvd Ste B, Amory, MS 38821-5516 | 2014-07-18 |
| 1184036279 | Hope Burkett | Surgery | 147 Reynoir Street 201, Biloxi, MS 39530-9020 | 2014-05-23 |
| 1235568916 | Thomas Keener Billups Sr. | Surgery | 1929 Allyson Dr, Tupelo, MS 38804-1045 | 2013-11-04 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 39631 |
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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.