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Organization

INDEPENDENT HEALTHCARE MANAGEMENT, INC.

Active
Other names
S E Lackey Memorial Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN P LEE (CHAIRMAN OF THE BOARD)
(601) 469-4771
Entity
Organization

Contact information

Practice address
330 N BROAD ST, FOREST, MS 39074-3508
(601) 469-4151
(601) 469-3681
Mailing address
PO BOX D, FOREST, MS 39074-0558
(601) 469-4151

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
13-033
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00220324
MS
05
09013565
MS
05
09013844
MS
Enumeration date
12/18/2006
Last updated
07/26/2023
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