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S.E. LACKEY MEMORIAL HOSPITAL
NPI 1285956334
General Acute Care Hospital - Critical Access in Forest, MS

Active since February 17, 2010
330 N BROAD ST, FOREST, MS 39074(601) 469-4151(601) 469-3681 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About S.e. Lackey Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S.E. LACKEY MEMORIAL HOSPITAL (NPI 1285956334) is a healthcare organization registered as a critical access in Forest, Mississippi and active in the NPI registry since February 2010. The organization lists John P Lee, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1285956334
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameINDEPENDENT HEALTHCARE MANAGEMENT, INC.
Location Address330 N BROAD STForest, MS 39074-3508
Mailing Address330 N Broad StForest, MS 39074-3508 · (601) 469-4151 · Fax (601) 469-3681
Phone(601) 469-4151
Fax(601) 469-3681
Organization SubpartNo
Authorized OfficialJohn P LeeChairman Of The Board · (601) 849-6440
Enumeration DateFebruary 17, 2010
Last NPPES UpdateMay 26, 2020
NPPES CertifiedMay 26, 2020
✔ NPI 1285956334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in MS · 13-033
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 13-033 (MS)
330 N BROAD ST, Forest, MS 39074
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Other Names 1

Doing Business AsS.e. Lackey Memorial Hospital

Other Identifiers 1

Medicaid09013844MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RORI E. BRIDGES FNP
Nurse Practitioner (Family)
330 N BROAD ST
FOREST, MS 39074
Scott County (601) 469-4771
INDEPENDENT HEALTHCARE MANAGEMENT, INC.
General Acute Care Hospital (Critical Access)
330 N BROAD ST
FOREST, MS 39074
Scott County (601) 469-4151
JACKSON ONCOLOGY ASSOCIATES, PLLC
Internal Medicine (Hematology & Oncology)
330 N BROAD ST
FOREST, MS 39074
Scott County (601) 355-2485
INDEPENDENT HEALTHCARE MANAGEMENT, INC
Psychiatric Unit
330 N BROAD ST
FOREST, MS 39074
Scott County (601) 469-4151
NATHAN LANCE NEWMAN CRNA
Nurse Anesthetist, Certified Registered
330 N BROAD ST
FOREST, MS 39074
Scott County (601) 469-4151
MEGAN OTTO
Nurse Practitioner (Family)
330 N BROAD ST
FOREST, MS 39074
Scott County (601) 469-4151
INDEPENDENT HEALTHCARE MANAGEMENT, INC,
General Acute Care Hospital (Critical Access)
330 N BROAD ST
FOREST, MS 39074
Scott County (601) 469-4151
KATHRYN RENEE WALKER CFNP
Nurse Practitioner (Family)
330 N BROAD ST
FOREST, MS 39074
Scott County (601) 469-4151

Frequently 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 1285956334. It was assigned to this organization in the NPPES registry on February 17, 2010. The provider is doing business as S.E. Lackey Memorial Hospital.

Where is Independent Healthcare Management, Inc. located?

Independent Healthcare Management, Inc. is located at 330 N Broad St, Forest, MS 39074. The listed phone number is (601) 469-4151.

What is Independent Healthcare Management, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.