NPIMap

Organization Active NPI

Field Memorial Community Hospital

Doing business as Field Health System

  • Medicare Defined Swing Bed Hospital Unit
  • Centreville, MS
National Provider Identifier
1447217526
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
11121 Issued in MS
Legal business name
FIELD MEMORIAL COMMUNITY HOSPITAL
Doing business as
Field Health System
Practice address
178 Highway 24 E
Centreville, MS 39631-4171
Phone
(601) 890-0500
Fax
(601) 645-5873
NPI assigned
May 1, 2006
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bernard Richard Williams
Title
Ceo
Phone
(601) 890-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 11121 MS Primary

Addresses

Primary practice location

178 Highway 24 E
Centreville, MS 39631-4171

Mailing address

178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 890-0500

Other identifiers 2

IdentifierTypeStateIssuer
000029002MedicaidMS
00029002MedicaidMS

Other names 1

  • Field Health System Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220726002057 MS Part A Provider - Critical Access Hospital 0547248544 Practice locations: Centreville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447217526. Details of each certification follow.

Hospital certification: CCN 25Z309

Legal name
FIELD MEMORIAL COMMUNITY HOSPITAL
Doing business as
FIELD HEALTH SYSTEM
Organization structure
GovernmentNon-profit
Enrollment address
178 Highway 24 E
Centreville, MS 39631-4171
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

178 Highway 24 E
Ste B
Centreville, MS 39631
Phone (601) 835-0077

434 N Captain Gloster Dr
Gloster, MS 39638
Phone (601) 225-4711

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sherry Mix Individual W-2 Managing EmployeeCfo Jan 1, 2022 50%
Jeremy Chad Netterville Individual Corporate Director Feb 11, 2008
Operational/Managerial Control Feb 11, 2008

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centreville ClinicCentreville, MS, CCN 258502 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 8, 2002
Gloster ClinicGloster, MS, CCN 258503 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 8, 2002
Field Memorial Community HospitalWoodville, MS, CCN 258501 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 8, 2002
FMCH Liberty ClinicLiberty, MS, CCN 258610 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 6, 2014
Jan 6, 2014

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1447217526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-890-0500",
            "fax_number": "601-645-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-890-0500",
            "fax_number": "601-645-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELD MEMORIAL COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-890-0500"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "11121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000029002",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029002",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Field Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centreville, MS

Sources for this page

Verify at the official NPI Registry.