| Field Memorial Community Hospital | |
| 
					1410 Main St. East Liberty MS 39645-0514  | |
| (601) 657-8820 | |
| Not Available | 
| Full Name | Field Memorial Community Hospital | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1410 Main St. East, Liberty, Mississippi | 
| Authorized Official Name and Position | Jeremy Chad Netterville (ADMINISTRATOR/CEO) | 
| 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 514 Liberty MS 39645-0514 Ph: () -  | Field Memorial Community Hospital 1410 Main St. East Liberty MS 39645-0514 Ph: (601) 657-8820  | 
| NPI Number | 1669818480 | 
|---|---|
| Provider Enumeration Date | 05/20/2013 | 
| Last Update Date | 09/12/2019 | 
| Medicare PECOS PAC ID | 0547248544 | 
|---|---|
| Medicare Enrollment ID | O20131014000541 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669818480 | NPI | - | NPPES | 
| 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 E Wills | 
|---|---|
| Provider Type | Practitioner - Urology | 
| Provider Identifiers | NPI Number: 1578523981 PECOS PAC ID: 0941242499 Enrollment ID: I20050525000681  | 
| 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 | Robert D Rabalais | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1083630040 PECOS PAC ID: 6800816489 Enrollment ID: I20080730000378  | 
| Provider Name | James Lee Hawley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1275946162 PECOS PAC ID: 5193047405 Enrollment ID: I20141121002166  | 
| 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 | Amber Flowers | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1811507114 PECOS PAC ID: 9537579396 Enrollment ID: I20210719001154  | 
| Provider Name | Amber Watson Malone | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1851172316 PECOS PAC ID: 5799131132 Enrollment ID: I20231021000577  | 
Amite County Medical Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 West Freedom Drive, Liberty, MS 39645 Phone: 601-657-4326 Fax: 601-657-8867  | |
Amite County Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 West Freedom Drive, Liberty, MS 39645 Phone: 601-657-1236 Fax: 601-657-9181  |