Organization
OCH CENTER FOR BREAST HEALTH
Active
Parent organization
OKTIBBEHA COUNTY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKTIBBEHA COUNTY HOSPITAL
Authorized official
MR. JAMES H. JACKSON JR. (CEO)
(662) 615-2500
Entity
Organization
Contact information
Practice address
102 DOCTORS PARK, STARKVILLE, MS 39759-2570
(662) 615-3800
(662) 615-3807
Mailing address
PO BOX 1326, STARKVILLE, MS 39760-1326
(662) 615-3800
(662) 615-3807
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
11-269
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01103512
—
MS
Enumeration date
12/14/2006
Last updated
11/19/2019
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