Fmch Gloster Clinic

LBN: Field Memorial Community Hospital
Fmch Gloster Clinic is an health care organization with primary practice located at 434 N Captain Gloster Dr , Gloster MS 39638-3401. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Field Memorial Community Hospital can be contacted via phone (601) 225-4711, or through Netterville, Jeremy Chad via phone (601) 890-0545.

Contact Information

Primary practice address
434 N Captain Gloster Dr Gloster MS 39638-3401
Phone: (601) 225-4711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Netterville, Jeremy Chad
Phone: (601) 890-0545

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1144274622
LBN Legal business name Field Memorial Community Hospital
DBA Doing business as Fmch Gloster Clinic
Authorized official Netterville, Jeremy Chad
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144274622 NPPES
Mississippi MEDICAID 09016303
Mississippi MEDICAID 1445096
Mississippi Other C02788

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