FIELD MEMORIAL COMMUNITY HOSPITAL NPI 1144274622

NPI Information

FIELD MEMORIAL COMMUNITY HOSPITAL is a rural health clinic center in Gloster, MS. FIELD MEMORIAL COMMUNITY HOSPITAL NPI is 1144274622. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fmch Gloster Clinic.

The provider's business location address is:

434 N CAPTAIN GLOSTER DR
GLOSTER, MS
ZIP 39638-401
Phone: (601) 225-4711

The provider's authorized official is Jeremy Chad Netterville .
The authorized official title is Administrator and has the following contact phone number (601) 890-0545.

The CLIA number assigned to this NPI record is 25D0929503 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 9/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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