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S E LACKEY MEMORIAL HOSPITAL
NPI 1306909734
General Acute Care Hospital - Critical Access in Forest, MS

Active since December 18, 2006CLIA 25D0317513 · Certificate of Compliance
330 N BROAD ST, FOREST, MS 39074(601) 469-4151(601) 469-3681 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, May 26, 2020 (2 updates tracked since 2020).

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 1306909734) is a healthcare organization registered as a critical access in Forest, Mississippi and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 1, 2026, maintains a secondary practice location in Forest, and lists John P Lee, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1306909734
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameINDEPENDENT HEALTHCARE MANAGEMENT, INC.
Location Address330 N BROAD STForest, MS 39074-3508
Mailing AddressPo Box DForest, MS 39074-0558 · (601) 469-4151
Phone(601) 469-4151
Fax(601) 469-3681
Organization SubpartNo
Authorized OfficialJohn P LeeChairman Of The Board · (601) 469-4771
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1306909734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in MS · 13-033
330 N BROAD ST, Forest, MS 39074
Open in Google Maps ↗

Other Names 1

Doing Business AsS E Lackey Memorial Hospital

Secondary Practice Location 1

Location 1505 Airport Rd Ste FForest, MS 39074-4033 · Phone (601) 333-0947

Other Identifiers 3

Medicaid00220324MS
Medicaid09013565MS
Medicaid09013844MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 Compliance 25D0317513

S E Lackey Memorial Hospital · Forest, MS
Active · expires Dec 1, 2026
CLIA Number25D0317513
Laboratory TypeHospital
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorDr. Abram T. Coppage IV
Laboratory Phone(601) 469-4151
Laboratory LocationS E Lackey Memorial Hospital330 N Broad St, Forest, MS 39074
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for S E Lackey Memorial Hospital (CMS certification number 251300), from CMS Care Compare.

S E Lackey Memorial Hospital

Critical Access Hospitals · Forest, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251300
Location330 N Broad StreetForest, MS 39074 · Scott County · (601) 469-4151
Emergency services Meaningful use of EHRs

Complications & Deaths 5

Death rate for stroke patients
Cases too small to report
Death rate for pneumonia patients
Cases too small to report
Death rate for heart failure patients
Cases too small to report
Death rate for COPD patients
Cases too small to report
Death rate for heart attack patients
Cases too small to report

Infections 1

Clostridium Difficile (C.Diff)
1 observed case · 1.1 predicted · 3,220 patient days
0.909 No different than national

Unplanned Hospital Visits 11

Pneumonia (PN) 30-Day Readmission Rate
Cases too small to report
Rate of readmission after discharge from hospital (hospital-wide)
80 No different than national
Heart failure (HF) 30-Day Readmission Rate
Cases too small to report
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients
Cases too small to report
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate
Cases too small to report
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
Cases too small to report

Timely & Effective Care 8

Left before being seen
1%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
130 minutes
Healthcare workers given influenza vaccination
14%
Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders
29 minutes
Emergency department volume
Low
Venous Thromboembolism Prophylaxis
56%

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 1306909734. It was assigned to this organization in the NPPES registry on December 18, 2006. 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.

Does Independent Healthcare Management, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0317513) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Independent Healthcare Management, Inc. a Medicare-certified hospital?

Yes. S E Lackey Memorial Hospital is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

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 2 other insurers 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 July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.