Organization
FIELD MEMORIAL COMMUNITY HOSPITAL
Active
Other names
FMCH Gloster Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY CHAD NETTERVILLE (CEO)
(601) 645-5221
Entity
Organization
Contact information
Practice address
434 N CAPTAIN GLOSTER DR, GLOSTER, MS 39638-3401
(601) 224-4711
(601) 225-7861
Mailing address
270 W MAIN STREET, CENTREVILLE, MS 39631
(601) 645-5221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445096
—
LA
Enumeration date
02/04/2010
Last updated
05/04/2026
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