| Field Memorial Community Hospital | |
|
451 Bank St Woodville MS 39669-6000 | |
| (601) 888-3421 | |
| Not Available |
| Full Name | Field Memorial Community Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 451 Bank St, Woodville, Mississippi |
| Authorized Official Name and Position | Jeremy Chad Netterville (ADMINISTRATOR) |
| Authorized Official Contact | 6018900545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Field Memorial Community Hospital Po Box 876 Woodville MS 39669-0876 Ph: (601) 888-3421 | Field Memorial Community Hospital 451 Bank St Woodville MS 39669-6000 Ph: (601) 888-3421 |
| NPI Number | 1881648376 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 09/12/2019 |
| Medicare PECOS PAC ID | 0547248544 |
|---|---|
| Medicare Enrollment ID | O20040707001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881648376 | NPI | - | NPPES |
| C02790 | Other | CAHABA | |
| 1444626 | Medicaid | LA | |
| 09016301 | Medicaid | MS |
| Provider Name | Harold G Clausen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417958240 PECOS PAC ID: 3971577909 Enrollment ID: I20040824001293 |
| Provider Name | Fred H Petty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841291333 PECOS PAC ID: 3375517303 Enrollment ID: I20040824001334 |
| Provider Name | Thomas Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639107121 PECOS PAC ID: 2668449489 Enrollment ID: I20040913000247 |
| Provider Name | Deborah Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174620652 PECOS PAC ID: 3274594874 Enrollment ID: I20041026000510 |
| Provider Name | Robert Coleman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225079759 PECOS PAC ID: 8224076773 Enrollment ID: I20050425000568 |
| Provider Name | Robert L Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093752115 PECOS PAC ID: 7719927227 Enrollment ID: I20050504000495 |
| Provider Name | Richard J Field |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548217847 PECOS PAC ID: 9436191889 Enrollment ID: I20050525000736 |
| Provider Name | Trinity J Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255387544 PECOS PAC ID: 7618991951 Enrollment ID: I20060125000499 |
| Provider Name | Jennifer W Lanehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720185754 PECOS PAC ID: 3779594460 Enrollment ID: I20060509000732 |
| Provider Name | Charles Greeson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295788040 PECOS PAC ID: 6002800992 Enrollment ID: I20061121000383 |
| Provider Name | Steven G Cunningham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336140078 PECOS PAC ID: 0345211983 Enrollment ID: I20070911000112 |
| Provider Name | William M Molpus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437189099 PECOS PAC ID: 1355421306 Enrollment ID: I20080103000681 |
| Provider Name | Scott A Keeler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801826474 PECOS PAC ID: 0941106793 Enrollment ID: I20081118000450 |
| Provider Name | Juan A Velez Jr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609939396 PECOS PAC ID: 3678640745 Enrollment ID: I20090424000203 |
| Provider Name | Scott T Boyette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376572008 PECOS PAC ID: 5496836397 Enrollment ID: I20090818000805 |
| Provider Name | Nina M Gazmen |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1821003492 PECOS PAC ID: 4587665039 Enrollment ID: I20091229000431 |
| Provider Name | Gregory N Vickers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760428569 PECOS PAC ID: 2668668872 Enrollment ID: I20101130001262 |
| Provider Name | Ronald S Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639107147 PECOS PAC ID: 6204023260 Enrollment ID: I20101203000399 |
| Provider Name | David Burnell Mcgraw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336193135 PECOS PAC ID: 8729198015 Enrollment ID: I20101207001198 |
| Provider Name | Cleveland A. Hudson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043249485 PECOS PAC ID: 9830259530 Enrollment ID: I20101210000814 |
| Provider Name | Kenneth E Duff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750310066 PECOS PAC ID: 7911194311 Enrollment ID: I20101210000872 |
| Provider Name | Neil J Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285661934 PECOS PAC ID: 2062607120 Enrollment ID: I20110106000741 |
| Provider Name | Steven M Murphey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669400495 PECOS PAC ID: 3274722210 Enrollment ID: I20110106000846 |
| Provider Name | Lesa C Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750653382 PECOS PAC ID: 7618130238 Enrollment ID: I20120518000179 |
| Provider Name | Christopher W Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982964565 PECOS PAC ID: 3173789047 Enrollment ID: I20120720000179 |
| Provider Name | Pradeep Kumar Selvaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053545913 PECOS PAC ID: 4880841709 Enrollment ID: I20120829000192 |
| Provider Name | William W Boone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972784999 PECOS PAC ID: 1759537301 Enrollment ID: I20130807000386 |
| Provider Name | Billy Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780025809 PECOS PAC ID: 5799929113 Enrollment ID: I20130924000799 |
| Provider Name | Jason E Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871935189 PECOS PAC ID: 0244465037 Enrollment ID: I20131104000235 |
| Provider Name | Wendell T Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043638869 PECOS PAC ID: 2961628805 Enrollment ID: I20140729002044 |
| Provider Name | William J Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073920716 PECOS PAC ID: 5597985465 Enrollment ID: I20140929001067 |
| Provider Name | James Lee Hawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275946162 PECOS PAC ID: 5193047405 Enrollment ID: I20141121002166 |
| Provider Name | John M Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730566175 PECOS PAC ID: 1557681756 Enrollment ID: I20150528002079 |
| Provider Name | James A York |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497730469 PECOS PAC ID: 5395911085 Enrollment ID: I20160622002086 |
| Provider Name | Gerald Broussard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104117688 PECOS PAC ID: 1850604802 Enrollment ID: I20170524002825 |
| Provider Name | Alicia F Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548660954 PECOS PAC ID: 6901170901 Enrollment ID: I20170914000672 |
| Provider Name | Crystal Dale Grantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336633791 PECOS PAC ID: 8426308446 Enrollment ID: I20180912000778 |
| Provider Name | Simmons T Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659846129 PECOS PAC ID: 2567716921 Enrollment ID: I20181121001557 |
| Provider Name | Kimberly Diane Gabriel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699054700 PECOS PAC ID: 6507154242 Enrollment ID: I20190903000403 |
| Provider Name | Kristen Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114567617 PECOS PAC ID: 1355770231 Enrollment ID: I20200327000587 |
| Provider Name | Miles Dunbar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447665146 PECOS PAC ID: 3870831845 Enrollment ID: I20201023002884 |
| Provider Name | Jessica Erin Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588003297 PECOS PAC ID: 2769775071 Enrollment ID: I20210311000021 |
| Provider Name | Paul Thomas Munn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831780857 PECOS PAC ID: 7810304417 Enrollment ID: I20210326001550 |
| Provider Name | Jeffrey Hooker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073909271 PECOS PAC ID: 0648587048 Enrollment ID: I20210408001996 |
| Provider Name | Corey W Sivils |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841679636 PECOS PAC ID: 2961719695 Enrollment ID: I20210715003445 |
| Provider Name | Amber Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811507114 PECOS PAC ID: 9537579396 Enrollment ID: I20210719001154 |
| Provider Name | Andrew D Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104586171 PECOS PAC ID: 9133511850 Enrollment ID: I20220110000446 |
| Provider Name | Anthony L Fortin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437680899 PECOS PAC ID: 8325318801 Enrollment ID: I20220908002149 |
| Provider Name | Marshall J Hutchison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447783717 PECOS PAC ID: 4981958501 Enrollment ID: I20230516000568 |
| Provider Name | Amber Watson Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851172316 PECOS PAC ID: 5799131132 Enrollment ID: I20231021000577 |
| Provider Name | Richard Alan Hemings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831766385 PECOS PAC ID: 2466986682 Enrollment ID: I20250103002410 |
Field Memorial Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 Bank St, Woodville, MS 39669 Phone: 601-888-3421 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1495 Us Highway 61 S, Woodville, MS 39669 Phone: 601-825-7280 Fax: 601-825-8130 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1823 Highway 24 West, Woodville, MS 39669 Phone: 601-825-7280 Fax: 601-825-8130 |