INDEPENDENT HEALTHCARE MANAGEMENT, INC (NPI# 1649761685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649761685 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT HEALTHCARE MANAGEMENT, INC |
| Other Organization Name | FOREST FAMILY PRACTICE |
| Practice Address |
1 Medical Ln Ste B Forest MS 39074-4039 |
| Mailing Address |
100 Pioneer Way Magee MS 39111-5501 |
| Practice Telephone | 6014694861 |
| Mailing Telephone | 6018496440 |
| Mailing Fax Number | 6008491332 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | JOHN P LEE (COB) |
| Authorized Official Telephone | 6014694861 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Forest Family Practice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Ln, Forest, MS 390744039 | 6014694861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1891735692 | Independent Healthcare Management, Inc | General Acute Care Hospital | 330 N Broad St, Forest, MS 39074-3508 | 2006-06-08 |
| 1275130601 | Independent Healthcare Management, Inc | Clinic/Center | 9425 Eastside Drive Ext Ste B, Newton, MS 39345-8069 | 2020-10-08 |
| 1952326241 | Independent Healthcare Management, Inc | Medicare Defined Swing Bed Unit | 330 N Broad St, Forest, MS 39074-3508 | 2006-07-13 |
| 1407872773 | Independent Healthcare Management, Inc | Psychiatric Unit | 330 N Broad St, Forest, MS 39074-3508 | 2006-07-13 |
| Street Address |
1 MEDICAL LN STE B |
| City | FOREST |
| State | MS |
| Zip Code | 39074-4039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952865214 | Donna Wedgeworth | Nurse Practitioner | 1 Medical Ln Ste B, Forest, MS 39074-4039 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095927 | Tamatha Nicole Owen | Nurse Practitioner | 1061 Highway 35 S, Forest, MS 39074 | 2019-10-28 |
| 1154687838 | Region Ten Commission On Mental Health | Clinic/Center | 13682 Hwy 80 West, Forest, MS 39074 | 2012-04-06 |
| 1053567636 | Cathy G Cooper | Physical Therapist | 813 West 3rd Street, Forest, MS 39074 | 2008-08-14 |
| 1487866158 | Terry Ann Meadows | Clinic/Center | 330 North Broad St, Forest, MS 39074 | 2007-05-04 |
| 1770702144 | Randy K Reynolds | Dentist | 208 West 3rd Street, Forest, MS 39074 | 2007-04-24 |
| 1215067293 | John B. Smith, Jr. Dmd, Pa | Dentist | 1040 Highway 35 South, Drawer 30, Forest, MS 39074 | 2007-03-07 |
| 1225189244 | Douglas F Harvel, Jr | Dentist | 1040 Highway 35 S, Forest, MS 39074 | 2007-01-16 |
| 1861542433 | Forest Dental Practice Pllc | Dentist | Po Drawer 30, Forest, MS 39074 | 2007-01-12 |
| 1306996970 | John B Smith Jr. | Dentist | 1040 Hwy 35 South, Forest, MS 39074 | 2007-01-12 |
| 1295821072 | Buddy Lee Eady | Chiropractor | 500 East 3rd St., Forest, MS 39074 | 2006-10-05 |
| Find all providers in zip 39074 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245489186 | Independent Healthcare Management, Inc. | Clinic/Center | 526 Deerfield Dr, Suite C, Forest, MS 39074-6005 | 2008-09-16 |
| 1841447554 | Total Care Clinic | Clinic/Center | 526 Deerfield Dr., Forest, MS 39074-9999 | 2008-08-25 |
| 1255376729 | Independent Healthcare Management, Inc. | Clinic/Center | 330 N Broad St, Forest, MS 39074-3508 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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| 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.