# OCH FAMILY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760932891
- **Authorized official:** MR. JAMES H. JACKSON JR. (CEO)
- **Authorized official phone:** (662) 615-2500

## Contact information

- **Practice address:** 302 HOSPITAL RD, STARKVILLE, MS 39759-2156
- **Practice address phone:** (662) 615-3731
- **Practice address fax:** (662) 615-3737
- **Mailing address:** PO BOX 1326, STARKVILLE, MS 39760-1326
- **Mailing address phone:** (662) 615-2830
- **Mailing address fax:** (662) 615-2836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 10/23/2020
