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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

General Provider Information

NPI Number : 1891735692
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDEPENDENT HEALTHCARE MANAGEMENT, INC
Provider Business Mailing Address
First Line : PO BOX 1100
Second Line :
City : MAGEE
State : MS
Zip : 39111-1100
Country : US
Telephone Number : 601-849-6440
Fax Number : 601-849-7557
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 : PRESIDENT
Name : MR. JOSEPH S. MCNULTY III
Credential : CRT
Telephone Number : 601-849-4112
Provider Enumeration Date : 06/08/2006
Last Update Date : 08/20/2007

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Directions to “INDEPENDENT HEALTHCARE MANAGEMENT, INC ” Practice Location

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