NPIMap

Organization Active NPI

Statewide Healthcare Services

Doing business as Oxford Healthcare

  • Community/Behavioral Health Agency
  • Jackson, MS
National Provider Identifier
1962999326
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STATEWIDE HEALTHCARE SERVICES
Doing business as
Oxford Healthcare
Practice address
3828 I 55 N
Jackson, MS 39211-6324
Phone
(601) 982-7311
NPI assigned
Apr 20, 2018
Last updated
Apr 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Mr. Larry Jensen
Title
Vice President, Operations
Phone
(312) 795-4683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3828 I 55 N
Jackson, MS 39211-6324

Mailing address

1 N State St Ste 800
Chicago, IL 60602-3312
Phone (312) 795-4683

Other names 1

  • Oxford Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oxford Healthcare28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1962999326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N STATE ST STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023312",
            "telephone_number": "312-795-4683",
            "fax_number": "312-704-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 I 55 N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116324",
            "telephone_number": "601-982-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "VICE PRESIDENT, OPERATIONS",
        "authorized_official_telephone_number": "312-795-4683",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oxford Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.