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DSH250050 OKTIBBEHA COUNTY HOSPITAL (Active)
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Main Details
Name
OKTIBBEHA COUNTY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250050
Medicare Provider Number
250050
Additional Details
Current Program Status
Active
Registration Date
5/30/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/30/2006
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Oktibbeha County Hospital
Susan H. Russell, Chief Financial officer
(662) 615-2550
Primary Contact
Oktibbeha County Hospital
Stacy L Weaver, Director of Pharmacy
(662) 615-2990
Addresses
Street Address
400 HOSPITAL ROAD
STARKVILLE, MS 39759-0000
Billing Address
Oktibbeha County Hospital
P O Box 1506
Starkville, MS 39760
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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