# OCH PROFESSIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OKTIBBEHA COUNTY HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225202666
- **Legal business name:** OKTIBBEHA COUNTY HOSPITAL
- **Authorized official:** MR. JAMES H. JACKSON JR. (CEO)
- **Authorized official phone:** (662) 615-2500

## Contact information

- **Practice address:** 400 HOSPITAL RD, STARKVILLE, MS 39759-2163
- **Practice address phone:** (662) 615-2817
- **Practice address fax:** (662) 615-2554
- **Mailing address:** PO BOX 1326, STARKVILLE, MS 39760-1326
- **Mailing address phone:** (662) 615-2817
- **Mailing address fax:** (662) 615-2554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 01/24/2025