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NPI Code Detail

MEDICARE: OKTIBBEHA COUNTY HOSPITAL

MEDICARE: OKTIBBEHA COUNTY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center
2282NR1301XRural Acute Care Hospital11-269MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154310514
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKTIBBEHA COUNTY HOSPITAL
Provider Business Mailing Address
First Line : 400 HOSPITAL RD
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-2163
Country : US
Telephone Number : 662-615-2503
Fax Number : 662-615-2554
Provider Business Practice Location Address
First Line : 400 HOSPITAL RD
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-2163
Country : US
Telephone Number : 662-615-2503
Fax Number : 662-615-2554
Authorized Official
Title or Position : CEO
Name : MR. JAMES H. JACKSON JR.
Credential :
Telephone Number : 662-615-2500
Provider Enumeration Date : 10/18/2005
Last Update Date : 02/28/2025

Similar Medicare Providers

1841371671 — THOMAS PEARSON
Practice Location Address:
400 HOSPITAL RD
STARKVILLE, MS
39759-2163
Practice Phone: 662-323-4230
Practice Fax: 662-615-2554
1528040680 — EMILY A. SHOWS CRNA
Practice Location Address:
400 HOSPITAL RD
STARKVILLE, MS
39759-2163
Practice Phone: 662-323-4230
Practice Fax:
1235115056 — DR. MICHAEL D SHAW D.O.
Practice Location Address:
400 HOSPITAL RD
STARKVILLE, MS
39759-2163
Practice Phone: 662-615-2503
Practice Fax: 662-615-2554
1154300135 — DR. WILLIAM C CARR JR. M.D.
Practice Location Address:
400 HOSPITAL RD
STARKVILLE, MS
39759-2163
Practice Phone: 662-615-2503
Practice Fax: 662-615-2554
1164402426 — MR. STEVEN C DEWBERRY C.R.N.A.
Practice Location Address:
400 HOSPITAL RD
STARKVILLE, MS
39759-2163
Practice Phone: 662-323-4230
Practice Fax: 662-615-2554
1649243858 — MR. FREDERICK W SMITH C.R.N.A.
Practice Location Address:
400 HOSPITAL RD
STARKVILLE, MS
39759-2163
Practice Phone: 662-615-2503
Practice Fax: 662-615-2554

Directions to “OKTIBBEHA COUNTY HOSPITAL ” Practice Location

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