| S.e. Lackey Memorial Hospital | |
|
330 N Broad St Forest MS 39074-3508 | |
| (601) 469-4151 | |
| (601) 469-3681 |
| Full Name | S.e. Lackey Memorial Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 330 N Broad St, Forest, Mississippi |
| Authorized Official Name and Position | Joseph S Mcnulty (PRESIDENT) |
| Authorized Official Contact | 6018494112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S.e. Lackey Memorial Hospital Po Box 1100 Magee MS 39111-1100 Ph: (601) 849-6440 | S.e. Lackey Memorial Hospital 330 N Broad St Forest MS 39074-3508 Ph: (601) 469-4151 |
| NPI Number | 1407872773 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 12/19/2008 |
| Medicare PECOS PAC ID | 0840197232 |
|---|---|
| Medicare Enrollment ID | O20220809002665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407872773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 13033 (Mississippi) | Primary |
Weems Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13682 Hwy 80 West, Forest, MS 39074 Phone: 601-469-2211 |