| Fmch Field Clinic | |
|
260 E Main St Centreville MS 39631-4200 | |
| (601) 645-5361 | |
| Not Available |
| Full Name | Fmch Field Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 260 E Main St, Centreville, Mississippi |
| Authorized Official Name and Position | Jeremy Chad Netterville (CEO) |
| Authorized Official Contact | 6016455221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmch Field Clinic 270 W Main Street Centreville MS 39631 Ph: (601) 645-5221 | Fmch Field Clinic 260 E Main St Centreville MS 39631-4200 Ph: (601) 645-5361 |
| NPI Number | 1023340874 |
|---|---|
| Provider Enumeration Date | 02/04/2010 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023340874 | NPI | - | NPPES |
| 1444669 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
Centreville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 178 Highway 24 E Ste A, Centreville, MS 39631 Phone: 601-890-0520 Fax: 601-645-5088 | |
Fmch Centreville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 West Howard St, Centreville, MS 39631 Phone: 601-645-5221 | |
Fmch Clinic Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 W Main Street, Centreville, MS 39631 Phone: 601-645-5221 Fax: 601-645-5873 |