OKTIBBEHA COUNTY HOSPITAL (NPI# 1215053475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215053475 |
| Entity Type | Organization |
| Organization Name | OKTIBBEHA COUNTY HOSPITAL |
| Other Organization Name | OCH REGIONAL MEDICAL CENTER |
| Practice Address |
400 Hospital Rd Starkville MS 39759-2163 |
| Mailing Address |
Po Box 1506 Starkville MS 39760-1506 |
| Practice Telephone | 6626152503 |
| Practice Fax Number | 6626152554 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | MR. JAMES H. JACKSON JR. (CEO) |
| Authorized Official Telephone | 6626152500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 11-269 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00029017 | 05 |
| Other Name | Type Code |
|---|---|
| OCH Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310514 | Oktibbeha County Hospital | General Acute Care Hospital | 400 Hospital Rd, Starkville, MS 39759-2163 | 2005-10-18 |
| 1689791675 | Oktibbeha County Hospital | Durable Medical Equipment & Medical Supplies | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-23 |
| 1184740946 | Oktibbeha County Hospital | Nurse Anesthetist, Certified Registered | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-22 |
| 1487770152 | Oktibbeha County Hospital | Radiology | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-22 |
| 1083730758 | Oktibbeha County Hospital | Ambulance | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-22 |
| 1124144381 | Oktibbeha County Hospital | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKTIBBEHA COUNTY HOSPITAL | 400 Hospital Rd, Starkville, MS 39759-2163 |
| Street Address |
400 HOSPITAL RD |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310514 | Oktibbeha County Hospital | General Acute Care Hospital | 400 Hospital Rd, Starkville, MS 39759-2163 | 2005-10-18 |
| 1053952945 | Benjamin Tucker | Pharmacist | 400 Hospital Rd, Starkville, MS 39759-2163 | 2019-10-02 |
| 1477010668 | Amanda Wilkins Misso | Registered Nurse | 400 Hospital Rd, Starkville, MS 39759-2163 | 2019-02-25 |
| 1023581857 | Jana Louann Peterson | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2019-01-03 |
| 1487165387 | William Nicholas Pennington | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759 | 2017-10-18 |
| 1871003988 | Stephanie Olantha Hubbard | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2017-10-03 |
| 1043735806 | Janet Myers | Hospitalist | 400 Hospital Rd, Starkville, MS 39759-2163 | 2017-08-13 |
| 1174980478 | Aisha Renea Outlaw | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2016-01-19 |
| 1376908756 | Laurel Jones | Speech-Language Pathologist | 400 Hospital Rd, Starkville, MS 39759-2163 | 2015-12-29 |
| 1083927495 | Edward C. High | Respiratory Therapist, Registered | 400 Hospital Rd, Starkville, MS 39759-2163 | 2010-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
| 1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1659404770 | Patients Choice Medical Center of Humphreys County, LLC | Medicare Defined Swing Bed Unit | 500 C C C Rd, Belzoni, MS 39038-3806 | 2007-03-14 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1972538270 | Tippah County Hospital | Medicare Defined Swing Bed Unit | 1005 City Avenue North, Ripley, MS 38663-0499 | 2006-07-12 |
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1447253521 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345-2613 | 2005-05-23 |
| 1457979908 | Natchez Hospital Company LLC | Medicare Defined Swing Bed Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2020-07-10 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.