NPIMap

Organization Active NPI

Och Pulmonology

Doing business as Holiday Lung and Sleep Center

  • Clinic/Center
  • Starkville, MS
National Provider Identifier
1639283740
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11-269 Issued in MS
Legal business name
OCH PULMONOLOGY
Doing business as
Holiday Lung and Sleep Center
Practice address
107 Brandon Rd
Starkville, MS 39759-2521
Phone
(662) 324-1291
NPI assigned
Aug 18, 2006
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
OKTIBBEHA COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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
Clinic/Center 261Q00000X 11-269 MS Primary

Addresses

Primary practice location

107 Brandon Rd
Starkville, MS 39759-2521

Mailing address

PO Box 1326
Starkville, MS 39760-1326

Other identifiers 1

IdentifierTypeStateIssuer
02601532MedicaidMS

Other names 1

  • Holiday Lung and Sleep Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061221000289 MS Part B Supplier - Clinic/Group Practice 5092715086 Receives reassigned benefits from 1 practitioner
Practice locations: Starkville, MS

National Provider Directory

National Provider Directory
Part of
Oktibbeha County Hospit

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1639283740",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BRANDON RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592521",
            "telephone_number": "662-324-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCH PULMONOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKTIBBEHA COUNTY HOSPITAL",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "11-269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02601532",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holiday Lung and Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.