INDEPENDENT HEALTHCARE MANAGEMENT INC. NPI 1285956334

NPI Information

NPI: 1285956334
Provider Name: INDEPENDENT HEALTHCARE MANAGEMENT, INC.

Doing Business As: S.E. LACKEY MEMORIAL HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
330 N BROAD ST
FOREST, MS
ZIP 39074
Phone: (601) 469-4151
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INDEPENDENT HEALTHCARE MANAGEMENT, INC. is a critical access general acute care hospital in Forest, MS. INDEPENDENT HEALTHCARE MANAGEMENT, INC. NPI is 1285956334. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As S.e. Lackey Memorial Hospital.

The provider's business location address is:

330 N BROAD ST
FOREST, MS
ZIP 39074-508
Phone: (601) 469-4151
Fax: (601) 469-3681

The provider's authorized official is John P Lee .
The authorized official title is Chairman Of The Board and has the following contact phone number (601) 849-6440.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 5/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	367500000X	Nurse Anesthetist, Certified Registered		13-033	MISSISSIPPI	No
2	282NC0060X	General Acute Care Hospital	Critical Access	13-033	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09013844	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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