Centreville Clinic
LBN: Field Memorial Community Hospital
Centreville Clinic is an health care organization with primary practice located at 178 Highway 24 E Ste A , Centreville MS 39631-4171. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Field Memorial Community Hospital can be contacted via phone (601) 890-0520, or through Netterville, Jeremy Chad via phone (601) 890-0545.
Contact Information
Primary practice address
178 Highway 24 E Ste A
Centreville MS 39631-4171
Phone: (601) 890-0520
Fax: (601) 645-5088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1134166812 |
|---|---|
| LBN Legal business name | Field Memorial Community Hospital |
| DBA Doing business as | Centreville Clinic |
| Authorized official | Netterville, Jeremy Chad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Sep 12th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134166812 | NPPES |
| Other | C02787 | CAHABA | |
| MEDICAID | 09016302 | CAHABA | |
| MEDICAID | 1444669 | CAHABA |
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