Organization
INDEPENDENT HEALTHCARE MANAGEMENT, INC
Active
Other names
S. E. Lackey Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S. MCNULTY III CRT (PRESIDENT)
(601) 849-4112
Entity
Organization
Contact information
Practice address
330 N BROAD ST, FOREST, MS 39074-3508
(601) 469-4151
(601) 469-3681
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-6440
(601) 849-7557
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
13-033
MS
Other
Enumeration date
06/08/2006
Last updated
08/20/2007
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