Organization
INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Active
Other names
Community Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P LEE (CHAIRMAN OF THE BOARD)
(601) 469-4151
Entity
Organization
Contact information
Practice address
505 AIRPORT RD STE B, FOREST, MS 39074-4033
(601) 469-4771
(601) 469-4724
Mailing address
PO BOX D, FOREST, MS 39074-0558
(601) 469-4151
(601) 469-9927
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126171
—
MS
Enumeration date
06/18/2006
Last updated
07/17/2023
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