Active NPI
Och Family Health Clinic
- Family Medicine Physician
- Starkville, MS
National Provider Identifier
1760932891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OCH FAMILY HEALTH CLINIC
- Practice address
- 302 Hospital Rd
Starkville, MS 39759-2156 - Phone
- (662) 615-3731
- Fax
- (662) 615-3737
- NPI assigned
- Oct 13, 2016
- Last updated
- Oct 23, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
302 Hospital Rd
Starkville, MS 39759-2156
Mailing address
PO Box 1326
Starkville, MS 39760-1326
Phone (662) 615-2830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Starkville, MS
- NPI 1659325306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603411200000",
"number": "1760932891",
"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": "662-615-2830",
"fax_number": "662-615-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 HOSPITAL RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592156",
"telephone_number": "662-615-3731",
"fax_number": "662-615-3737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCH FAMILY HEALTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-13",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"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": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 23, 2020; 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.