Organization
OCH PULMONOLOGY
Active
Parent organization
OKTIBBEHA COUNTY HOSPITAL
Other names
Holiday Lung and Sleep Center
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
107 BRANDON RD, STARKVILLE, MS 39759-2521
(662) 324-1291
Mailing address
PO BOX 1326, STARKVILLE, MS 39760-1326
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11-269
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02601532
—
MS
Enumeration date
08/18/2006
Last updated
10/03/2022
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