Organization Active NPI

Och Center for Breast Health

  • Medical Specialty Clinic/Center
  • Starkville, MS
National Provider Identifier
1396807814
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
11-269 Issued in MS
Legal business name
OCH CENTER FOR BREAST HEALTH
Practice address
102 Doctors Park
Starkville, MS 39759-2570
Phone
(662) 615-3800
Fax
(662) 615-3807
NPI assigned
Dec 14, 2006
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
OKTIBBEHA COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 11-269 MS Primary

Addresses

Primary practice location

102 Doctors Park
Starkville, MS 39759-2570

Mailing address

PO Box 1326
Starkville, MS 39760-1326
Phone (662) 615-3800

Other identifiers 1

IdentifierTypeStateIssuer
01103512MedicaidMS

National Provider Directory

National Provider Directory
Part of
Oktibbeha County Hospit

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1396807814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397601326",
            "telephone_number": "662-615-3800",
            "fax_number": "662-615-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592570",
            "telephone_number": "662-615-3800",
            "fax_number": "662-615-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCH CENTER FOR BREAST HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKTIBBEHA COUNTY HOSPITAL",
        "enumeration_date": "2006-12-14",
        "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": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "11-269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01103512",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.