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CAH251309-03 FIELD MEMORIAL COMMUNITY HOSPITAL (Active)
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Main Details
Name
FIELD MEMORIAL COMMUNITY HOSPITAL
Subdivision Name
GLOSTER CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251309-03
Medicare Provider Number
251309
Outpatient Facility Provider Number
258503
Additional Details
Current Program Status
Active
Registration Date
10/6/2010
Participating Start Date
1/1/2011
Participating Approval Date
10/7/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Field Memorial Community Hospital
Bernard Richard Williams, III, CEO/Administrator
(601) 890-0545
Primary Contact
Field Memorial Community Hospital
Vicki Anders, CFO
(601) 890-0546
Addresses
Street Address
434 N CAPTAIN GLOSTER DR
GLOSTER, MS 39638
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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