LACKEY PEDIATRIC CLINIC
NPI 1154670719
Clinic/Center - Rural Health in Forest, MS
About Lackey Pediatric Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACKEY PEDIATRIC CLINIC (NPI 1154670719) is a healthcare organization registered as a rural health in Forest, Mississippi and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists John P Lee, Chairman Of The Board, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2048983
Lackey Pediatric Clinic · Forest, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Independent Healthcare Management, Inc.'s NPI number?
The NPI number for Independent Healthcare Management, Inc. is 1154670719. It was assigned to this organization in the NPPES registry on August 29, 2012. The provider is doing business as Lackey Pediatric Clinic.
Where is Independent Healthcare Management, Inc. located?
Independent Healthcare Management, Inc. is located at 1129 Highway 35 S Suite 1, Forest, MS 39074. The listed phone number is (601) 849-6440.
What is Independent Healthcare Management, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Independent Healthcare Management, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2048983) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Independent Healthcare Management, Inc. accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Independent Healthcare Management, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Independent Healthcare Management, Inc. was last updated on May 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
