# FIELD MEMORIAL COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FHS Express Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053988816
- **Authorized official:** JEREMY C NETTERVILLE (CEO)
- **Authorized official phone:** (601) 890-0545

## Contact information

- **Practice address:** 616 MAIN ST, WOODVILLE, MS 39669-9706
- **Practice address phone:** (601) 888-3333
- **Practice address fax:** (601) 888-6336
- **Mailing address:** 178 HIGHWAY 24 E, CENTREVILLE, MS 39631-4171
- **Mailing address phone:** (601) 890-0546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2021
- **Last updated:** 08/05/2021