OKTIBBEHA COUNTY HOSPITAL (NPI# 1487770152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487770152 |
| Entity Type | Organization |
| Organization Name | OKTIBBEHA COUNTY HOSPITAL |
| Practice Address |
400 Hospital Rd Starkville MS 39759-2163 |
| Practice Telephone | 6626152503 |
| Practice Fax Number | 6626152554 |
| Mailing Telephone | 6626152503 |
| Mailing Fax Number | 6626152554 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | MR. RICHARD G HILTON (ASSOCIATE ADMINISTRATOR) |
| Authorized Official Telephone | 6626152503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
11-269 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03131530 | 05 |
| 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 |
| 1083730758 | Oktibbeha County Hospital | Ambulance | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-22 |
| 1215053475 | Oktibbeha County Hospital | Medicare Defined Swing Bed Unit | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-21 |
| 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 | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790720779 | Jason Kendell Morris | Radiology | 618 Frederick Dr, Cleveland, MS 38732-2006 | 2006-06-16 |
| 1811229057 | Leena Pande | Radiology | 14231 Seaway Rd Ste 5003, Gulfport, MS 39503-4660 | 2010-02-12 |
| 1033318985 | Sunder Jagwani Md Pa | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-07-12 |
| 1902000375 | Simpson Community Healthcare, Inc. | Radiology | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2007-06-12 |
| 1790993749 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1326256371 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1457491383 | Sunder H Jagwani | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-08 |
| 1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
| 1407941339 | Vicente Co Luciano Jr. | Radiology | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-10-04 |
| 1679583728 | William Douglas Routh | Radiology | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
Please comment or provide details below to improve the information on OKTIBBEHA COUNTY HOSPITAL.
| 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.