S. E. LACKEY MEMORIAL HOSPITAL
NPI 1649592791
General Acute Care Hospital - Critical Access in Forest, MS
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 1649592791) 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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
S. E. Lackey Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
94Medicare enrollment records show 94 clinicians reassign Medicare billing to S. E. Lackey Memorial Hospital, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 94Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1649592791. 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.
Is Independent Healthcare Management, Inc, enrolled in Medicare?
Yes. Independent Healthcare Management, Inc, is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Independent Healthcare Management, Inc,?
According to the CMS Revalidation Reassignment List (October 2026 release), 94 clinicians in 13 Medicare specialties reassign their Medicare billing to Independent Healthcare Management, Inc,. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (39), Emergency Medicine (18) and Certified Registered Nurse Anesthetist (CRNA) (13). Of these, 5 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Independent Healthcare Management, Inc, accept?
Health plans from Cigna Healthcare and Molina Healthcare 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 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.
# S. E. Lackey Memorial Hospital · NPI 1649592791
Critical Access organization in Forest, Mississippi. Organization record, active in the CMS NPPES registry since February 17, 2010.
## Identity
- **NPI:** 1649592791 (Entity type: Organization)
- **Enumerated:** February 17, 2010
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** Independent Healthcare Management, Inc,
- **Organization subpart:** No
- **Authorized official:** John Lee, CHAIRMAN OF THE BOARD
## Practice location
- **Address:** 330 N BROAD ST, Forest, MS 39074-3508
- **Phone:** (601) 469-4151 · **Fax:** (601) 469-3681
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 94 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), Emergency Medicine (18), Certified Registered Nurse Anesthetist (CRNA) (13); 5 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1649592791/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2020
- **Other identifiers:** Medicaid 09013565 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1649592791) · Data from the CMS NPPES public registry.