Independent Healthcare Management, Inc

Organization Active NPI Critical Access Hospital · Forest, MS

NPI 1891735692 · NPPES record last updated Aug 20, 2007

Key facts

NPI
1891735692
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
13-033 (MS)
Legal business name
INDEPENDENT HEALTHCARE MANAGEMENT, INC
Practice address
330 N Broad St
Forest, MS 39074-3508
Phone
(601) 469-4151
Fax
(601) 469-3681
NPI assigned
Jun 8, 2006
Organization subpart
No

Authorized official

Name
Mr. Joseph S. McNulty III, CRT
Title
President
Phone
(601) 849-4112

National Provider Directory

Locations

300 N Broad St
Forest, MS 39074

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 13-033 MS Yes

Addresses

Primary practice location

330 N Broad St
Forest, MS 39074-3508

Mailing address

PO Box 1100
Magee, MS 39111-1100
Phone (601) 849-6440

Other names

  • S. E. Lackey Memorial Hospital Doing business as

Other providers in Forest, MS

All providers in Forest, MS · Critical Access Hospital in Mississippi

Sources for this page

Verify at the official NPI Registry.