Healthcare Provider Details

I. General information

NPI: 1669818480
Provider Name (Legal Business Name): FIELD MEMORIAL COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2013
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 MAIN ST E
LIBERTY MS
39645-7268
US

IV. Provider business mailing address

1410 E MAIN ST
LIBERTY MS
39645-7268
US

V. Phone/Fax

Practice location:
  • Phone: 601-657-8820
  • Fax: 601-657-9091
Mailing address:
  • Phone: 601-657-8820
  • Fax: 601-657-9091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BERNARD RICHARD WILLIAMS
Title or Position: CEO
Credential:
Phone: 601-890-0545