Independent Healthcare Management, Inc. | |
516 Airport Rd Forest MS 39074-4032 | |
(601) 469-4151 | |
(601) 469-3681 |
Full Name | Independent Healthcare Management, Inc. |
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Speciality | Clinic/center |
Location | 516 Airport Rd, Forest, Mississippi |
Authorized Official Name and Position | John Lee (CHAIRMAN OF BOARD) |
Authorized Official Contact | 6014694861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Independent Healthcare Management, Inc. Po Box 1460 Magee MS 39111-1460 Ph: (601) 849-6440 | Independent Healthcare Management, Inc. 516 Airport Rd Forest MS 39074-4032 Ph: (601) 469-4151 |
NPI Number | 1245905405 |
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Provider Enumeration Date | 08/10/2021 |
Last Update Date | 08/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245905405 | NPI | - | NPPES |
13-033 | Other | MS | HOSPITAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Forest Family Practice Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Ln, Forest, MS 39074 Phone: 601-469-4861 Fax: 601-469-4828 | |