FIELD MEMORIAL COMMUNITY HOSPITAL (NPI# 1770574048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770574048 |
| Entity Type | Organization |
| Organization Name | FIELD MEMORIAL COMMUNITY HOSPITAL |
| Other Organization Name | FIELD HEALTH SYSTEM |
| Practice Address |
178 Highway 24 E Centreville MS 39631-4171 |
| Practice Telephone | 6018900500 |
| Practice Fax Number | 6016455873 |
| Mailing Telephone | 6018900500 |
| Mailing Fax Number | 6016455873 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | JEREMY CHAD NETTERVILLE (CEO) |
| Authorized Official Telephone | 6018900545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
11121 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09013136 | 05 | |
| MS | 00020012 | 05 | |
| MS | 09013134 | 05 | |
| MS | 09013289 | 05 | |
| LA | MEDICAID | 1730955 | 01 |
| MS | 09013137 | 05 | |
| MS | 09013135 | 05 | |
| MS | 09013138 | 05 | |
| MS | 00029002 | 05 | |
| LA | MEDICAID | 1798126 | 01 |
| Other Name | Type Code |
|---|---|
| Field Health System | 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 |
| 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 |
| City | CENTREVILLE |
| State | MS |
| Zip Code | 39631-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1629465224 | Field Memorial Community Hospital | Internal Medicine | 178 Highway 24 E, Centreville, MS 39631-4171 | 2015-04-21 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871633347 | Field Memorial Community Hospital | General Acute Care Hospital | 178 Highway 24 E, Centreville, MS 39631-4171 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1700284502 | Cody Allen Simpson | General Acute Care Hospital | 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 | 2014-12-10 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1144339839 | Simpson Community Healthcare, Inc. | General Acute Care Hospital | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2006-08-29 |
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1386654309 | Stone County Hospital, Inc. | General Acute Care Hospital | 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 | 2006-08-09 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 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.