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 2 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / Critical Access. Hospitals / Critical Access is 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) 849-6440.
Contact Information
Primary practice address
330 N Broad St
Forest MS 39074-3508
Phone: (601) 469-4151
Fax: (601) 469-3681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospital Units / Medicare Defined Swing Bed Unit | 275N00000X | 13-033 | Mississippi |
| Hospitals / Critical Access | 282NC0060X |
Profile Details
| NPI number | 1952326241 |
|---|---|
| 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 | Jul 13th, 2006 |
| Last updated | May 26th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952326241 | NPPES |
| Mississippi | MEDICAID | 00220378 |
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