| Oktibbeha Family Medical Center | |
|
511 Academy Rd Starkville MS 39759-4021 | |
| (662) 323-2911 | |
| (844) 778-8922 |
| Full Name | Oktibbeha Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 511 Academy Rd, Starkville, Mississippi |
| Authorized Official Name and Position | Wilbert L. Jones (CEO) |
| Authorized Official Contact | 6016930118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oktibbeha Family Medical Center 2701 Davis St Meridian MS 39301-5708 Ph: (601) 693-0118 | Oktibbeha Family Medical Center 511 Academy Rd Starkville MS 39759-4021 Ph: (662) 323-2911 |
| NPI Number | 1396842027 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 05/16/2023 |
| Medicare PECOS PAC ID | 9032027834 |
|---|---|
| Medicare Enrollment ID | O20030716000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396842027 | NPI | - | NPPES |
| 001389094 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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