FIELD MEMORIAL COMMUNITY HOSPITAL NPI 1770574048

NPI Information

NPI: 1770574048
Provider Name: FIELD MEMORIAL COMMUNITY HOSPITAL

Doing Business As: FIELD HEALTH SYSTEM

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 25D0651977

Address:
178 HIGHWAY 24 E
CENTREVILLE, MS
ZIP 39631
Phone: (601) 890-0500
Get Directions

FIELD MEMORIAL COMMUNITY HOSPITAL is a critical access general acute care hospital in Centreville, MS. FIELD MEMORIAL COMMUNITY HOSPITAL NPI is 1770574048. The provider is registered as an organization entity type.
The provider Is Doing Business As Field Health System.

The provider's business location address is:

178 HIGHWAY 24 E
CENTREVILLE, MS
ZIP 39631-171
Phone: (601) 890-0500
Fax: (601) 645-5873

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

The CLIA number assigned to this NPI record is 25D0651977 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 9/13/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	11121	MISSISSIPPI	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00020012	MEDICAID	MISSISSIPPI
2	09013289	MEDICAID	MISSISSIPPI
3	00029002	MEDICAID	MISSISSIPPI
4	09013134	MEDICAID	MISSISSIPPI
5	1730955	OTHER	LOUISIANA	MEDICAID
6	09013138	MEDICAID	MISSISSIPPI
7	09013136	MEDICAID	MISSISSIPPI
8	1798126	OTHER	LOUISIANA	MEDICAID
9	09013135	MEDICAID	MISSISSIPPI
10	09013137	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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