Organization
STATEWIDE HEALTHCARE SERVICES
Active
Other names
Oxford Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY JENSEN (VICE PRESIDENT, OPERATIONS)
(312) 795-4683
Entity
Organization
Contact information
Practice address
3828 I 55 N, JACKSON, MS 39211-6324
(601) 982-7311
Mailing address
1 N STATE ST STE 800, CHICAGO, IL 60602-3312
(312) 795-4683
(312) 704-1126
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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