MAIN STREET MEDICAL CLINIC OF SEBASTOPOL
NPI 1760778609
Clinic/Center - Rural Health in Sebastopol, MS

Q: 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.

Active since June 20, 2011

17509 HWY 21, SEBASTOPOL, MS 39359(601) 625-9818(601) 625-9904 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Main Street Medical Clinic Of Sebastopol NPPES

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

MAIN STREET MEDICAL CLINIC OF SEBASTOPOL (NPI 1760778609) is a healthcare organization registered as a rural health in Sebastopol, Mississippi and active in the NPI registry since June 2011. The organization lists Joseph S Mcnulty, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760778609

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameINDEPENDENT HEALTHCARE MANAGEMENT, INC.

Location Address17509 HWY 21Sebastopol, MS 39359-0000

Mailing Address17509 Hwy 21Sebastopol, MS 39359-0000 · (601) 625-9818 · Fax (601) 625-9904

Phone(601) 625-9818

Fax(601) 625-9904

Organization SubpartNo

Authorized OfficialJoseph S McnultyCeo · (601) 849-6440

Enumeration DateJune 20, 2011

Last NPPES UpdateDecember 18, 2014

✔ NPI 1760778609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

17509 HWY 21, Sebastopol, MS 39359

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Other Names 1

Doing Business AsMain Street Medical Clinic Of Sebastopol

Other Identifiers 1

Medicare OSCAR/certification258569MS

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 1760778609. It was assigned to this organization in the NPPES registry on June 20, 2011. The provider is doing business as Main Street Medical Clinic Of Sebastopol.

Where is Independent Healthcare Management, Inc. located?

Independent Healthcare Management, Inc. is located at 17509 Hwy 21, Sebastopol, MS 39359. The listed phone number is (601) 625-9818.

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.

When was this NPI record last updated?

The NPPES record for Independent Healthcare Management, Inc. was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.