Och Family Health Clinic | |
302 Hospital Rd Starkville MS 39759-2156 | |
(662) 615-3731 | |
(662) 615-3737 |
Full Name | Och Family Health Clinic |
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Speciality | Family Medicine |
Location | 302 Hospital Rd, Starkville, Mississippi |
Authorized Official Name and Position | James H. Jackson (CEO) |
Authorized Official Contact | 6626152500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Och Family Health Clinic Po Box 1326 Starkville MS 39760-1326 Ph: (662) 615-2830 | Och Family Health Clinic 302 Hospital Rd Starkville MS 39759-2156 Ph: (662) 615-3731 |
NPI Number | 1760932891 |
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Provider Enumeration Date | 10/13/2016 |
Last Update Date | 10/23/2020 |
Medicare PECOS PAC ID | 8123308467 |
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Medicare Enrollment ID | O20161202002005 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760932891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ava L Stegall |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659325306 PECOS PAC ID: 9234142597 Enrollment ID: I20101021001141 |
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