Oktibbeha County Hospital

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

11-269 Issued in MS

Legal business name

OKTIBBEHA COUNTY HOSPITAL

Doing business as

OCH Regional Medical Center

Practice address

400 Hospital Rd
Starkville, MS 39759-2163

Phone

(662) 615-2503

Fax

(662) 615-2554

NPI assigned

Mar 21, 2007

Last updated

Nov 19, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James H. Jackson Jr.

Title

Ceo

Phone

(662) 615-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OCH Regional Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215053475. Details of each certification follow.

• CCN 25U050 Hospital · Details

Hospital certification: CCN 25U050

Legal name

OKTIBBEHA COUNTY HOSPITAL

Doing business as

OCH REGIONAL MEDICAL CENTER

Organization structure

OtherNon-profit

Enrollment address

400 Hospital Rd
Starkville, MS 39759-2163
Hospital Swing-Bed Unit

Hospital subgroups

Swing-bed approved

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Baptist Memorial Hosp Oktibbeha County Inc.

  • Rural Acute Care Hospital
  • Starkville, MS
  • NPI 1346112521

  Unit of hospital

  Provider of Services

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1215053475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1506",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397601506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592163",
            "telephone_number": "662-615-2503",
            "fax_number": "662-615-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKTIBBEHA COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-615-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MS",
            "license": "11-269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00029017",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCH Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OCH Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Och Pulmonology (Holiday Lung and Sleep Center)
• Och Regional Health Clinic
• Och Urology Associates (Urology Specialists of Mississippi)
• Oktibbeha County Hospital (OCH Regional Medical Center)
• Oktibbeha County Hospital (OCH Regional Medical Center)
• Oktibbeha Urology
• Oku Consulting Counseling & Therapy, PLLC (Oku Counseling)
• Stacey Oliver, MS
• Ashley Omerza, LMSW
• Ahmed Orabi

• Medicare Defined Swing Bed Hospital Unit in Starkville, MS
• Providers in Starkville, MS by specialty
• Medicare Defined Swing Bed Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.