NPIMap

Field Memorial Community Hospital

Organization Active NPI Rural Health Clinic/Center · Liberty, MS

NPI 1669818480 · NPPES record last updated May 21, 2026

Key facts

NPI
1669818480
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
FIELD MEMORIAL COMMUNITY HOSPITAL
Practice address
1410 Main St E
Liberty, MS 39645-7268
Phone
(601) 657-8820
Fax
(601) 657-9091
NPI assigned
May 20, 2013
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2068263FMCH Liberty Clinic
1410 Main Street East, Liberty, MS 39645		AccreditationMay 5, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MS

Rural health clinic certification: CCN 258610

Legal name
FIELD MEMORIAL COMMUNITY HOSPITAL
Doing business as
FMCH LIBERTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 7, 2015
Last certification
Aug 7, 2025
Ownership / control type
Non-profit – church related
Organization structure
Government · Non-profit
Enrollment address
1410 Main St East
FMCH Liberty Clinic
Liberty, MS 39645
Related CCNs
251309

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Donald Jones
Individual 		Corporate Director
Director Board of Trustees		 Mar 1, 1988 100%
Field Memorial Community Hospital
Organization · Centreville, MS 		5% Or Greater Direct Ownership Interest Jan 6, 2014 100%
Operational/Managerial Control Jan 6, 2014 100%
Richard Williams
Individual 		Corporate Officer Mar 1, 2022
W-2 Managing Employee Mar 1, 2022
Ann Morris
Individual 		Corporate Officer
Chairman Board of Trustees		 Nov 1, 1990 100%
Marlin Reid
Individual 		Corporate Officer
Secretary Board of Trustees		 Mar 1, 1994 100%

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Centreville Clinic
Centreville, MS · CCN 258502		 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 8, 2002
Gloster Clinic
Gloster, MS · CCN 258503		 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 8, 2002
Field Memorial Community Hospital
Woodville, MS · CCN 258501		 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 8, 2002

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131014000541 MS Part B Supplier - Clinic/Group Practice 0547248544 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Centreville, MS; Liberty, MS
O20140917000172 MS Part a Provider - Rural Health Clinic 0547248544 Practice locations: Liberty, MS

National Provider Directory

Tax ID family
Field Mem Hosp Cardiolo (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Rural Health Clinic/Center 261QR1300X Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

1410 Main St E
Liberty, MS 39645-7268

Mailing address

1410 E Main St
Liberty, MS 39645-7268
Phone (601) 657-8820

Other names

  • FMCH Liberty Clinic Doing business as
  • Liberty Clinic Other name

Other providers in Liberty, MS

All providers in Liberty, MS · Rural Health Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.