INDEPENDENT HEALTHCARE MANAGEMENT, INC


Address: 330 N Broad St, Forest, MS 39074-3508
Phone: 6014694151

INDEPENDENT HEALTHCARE MANAGEMENT, INC (NPI# 1891735692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891735692
Entity Type Organization
Organization Name INDEPENDENT HEALTHCARE MANAGEMENT, INC
Other Organization Name S. E. LACKEY MEMORIAL HOSPITAL
Practice Address 330 N Broad St
Forest
MS 39074-3508
Mailing Address Po Box 1100
Magee
MS 39111-1100
Practice Telephone 6014694151
Practice Fax Number 6014693681
Mailing Telephone 6018496440
Mailing Fax Number 6018497557
Enumeration Date 2006-06-08
Last Update Date 2007-08-20
Authorized Official Name MR. JOSEPH S. MCNULTY III (PRESIDENT)
Authorized Official Telephone 6018494112
Authorized Official Credential CRT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
13-033 MS Hospitals

Other Provider/Organization Names

Other Name Type Code
S. E. Lackey Memorial Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

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
1649761685 Independent Healthcare Management, Inc Family Medicine 1 Medical Ln Ste B, Forest, MS 39074-4039 2018-05-25
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

Office Location

Street Address 330 N BROAD ST
City FOREST
State MS
Zip Code 39074-3508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528672276 Megan Elizabeth Mcdaniel Nurse Practitioner 330 N Broad St, Forest, MS 39074-3508 2020-09-01
1609323450 Megan Otto Nurse Practitioner 330 N Broad St, Forest, MS 39074-3508 2016-09-08
1942555438 Jenna C Benge Nurse Practitioner 330 N Broad St, Forest, MS 39074 2012-07-20
1417276106 Nathan Lance Newman Nurse Anesthetist, Certified Registered 330 N Broad St, Forest, MS 39074-3508 2010-05-20
1649592791 Independent Healthcare Management, Inc General Acute Care Hospital 330 N Broad St, Forest, MS 39074-3508 2010-02-17
1285956334 Independent Healthcare Management, Inc. Nurse Anesthetist, Certified Registered 330 N Broad St, Forest, MS 39074-3508 2010-02-17
1114170529 Rori E. Bridges Nurse Practitioner 330 N Broad St, Forest, MS 39074-3508 2008-10-29
1114104734 Heather Taylor Nurse Practitioner 330 N Broad St, Forest, MS 39074-3508 2008-01-25
1679799399 Jimmie Nell Rawson Nurse Anesthetist, Certified Registered 330 N Broad St, Forest, MS 39074-3508 2007-04-18
1306909734 Independent Healthcare Management, Inc. General Acute Care Hospital 330 N Broad St, Forest, MS 39074-3508 2006-12-18
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649592791 Independent Healthcare Management, Inc General Acute Care Hospital 330 N Broad St, Forest, MS 39074-3508 2010-02-17
1306909734 Independent Healthcare Management, Inc. General Acute Care Hospital 330 N Broad St, Forest, MS 39074-3508 2006-12-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730566027 Bmc - Attala, LLC General Acute Care Hospital 220 Hwy. 12 West, Kosciusko, MS 39090 2015-05-06
1700284502 Cody Allen Simpson General Acute Care Hospital 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 2014-12-10
1326453648 Kings Daughters Hospital of Yazoo County, Inc General Acute Care Hospital 748 E 15 St., Yazoo City, MS 39194 2014-06-25
1003026717 Forrest County General Hospital General Acute Care Hospital 305 W Moody St, Poplarville, MS 39470 2007-05-23
1063620110 Prentiss Regional Hospital and Ecf, Inc. General Acute Care Hospital 1102 Rose St, Prentiss, MS 39474 2007-05-21
1316076524 Prentiss Regional Hospital and Ecf, Inc. General Acute Care Hospital 1102 Rose St., Prentiss, MS 39474 2007-03-05
1144339839 Simpson Community Healthcare, Inc. General Acute Care Hospital 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 2006-08-29
1821103516 Pontotoc Health Services, Inc. General Acute Care Hospital 176 S Main St, Pontotoc, MS 38863-3311 2006-08-20
1386654309 Stone County Hospital, Inc. General Acute Care Hospital 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 2006-08-09
1477563427 State of Mississippi - University of Mississippi Medical Center General Acute Care Hospital 239 Bowling Green Road, Lexington, MS 39095 2006-08-09
Find all providers with the same taxonomy

Competitor

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City FOREST
Zip Code 39074

Improve Information

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Dataset Information

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.

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