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NPI Code Detail

MEDICARE: INDEPENDENT HEALTHCARE MANAGEMENT, INC.

MEDICARE: INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital13-033MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306909734
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Provider Business Mailing Address
First Line : PO BOX D
Second Line :
City : FOREST
State : MS
Zip : 39074-0558
Country : US
Telephone Number : 601-469-4151
Fax Number :
Provider Business Practice Location Address
First Line : 330 N BROAD ST
Second Line :
City : FOREST
State : MS
Zip : 39074-3508
Country : US
Telephone Number : 601-469-4151
Fax Number : 601-469-3681
Authorized Official
Title or Position : CHAIRMAN OF THE BOARD
Name : DR. JOHN P LEE
Credential :
Telephone Number : 601-469-4771
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/26/2023

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Directions to “INDEPENDENT HEALTHCARE MANAGEMENT, INC. ” Practice Location

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