S E Lackey Memorial Hospital

LBN: Independent Healthcare Management, Inc.
S E Lackey Memorial Hospital is an health care organization with primary practice located at 330 N Broad St , Forest MS 39074-3508. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Independent Healthcare Management, Inc. can be contacted via phone (601) 469-4151, or through Lee, John P via phone (601) 469-4771.

Contact Information

Primary practice address
330 N Broad St Forest MS 39074-3508
Phone: (601) 469-4151
Fax: (601) 469-3681
Website:
Map and Directions
Authorized official contact:
Name: Lee, John P
Phone: (601) 469-4771

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 13-033 Mississippi

Profile Details

NPI number 1306909734
LBN Legal business name Independent Healthcare Management, Inc.
DBA Doing business as S E Lackey Memorial Hospital
Authorized official Lee, John P
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 26th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306909734 NPPES
Mississippi MEDICAID 00220324
Mississippi MEDICAID 09013565
Mississippi MEDICAID 09013844

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