| Independent Healthcare Management, Inc. | |
|
516 Airport Rd Forest MS 39074-4032 | |
| (601) 469-4151 | |
| Not Available |
| Full Name | Independent Healthcare Management, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 516 Airport Rd, Forest, Mississippi |
| Authorized Official Name and Position | John Lee (COB) |
| Authorized Official Contact | 6014694861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Healthcare Management, Inc. 360 Simpson Highway 149 Ste 140 Magee MS 39111-3840 Ph: (601) 849-6440 | Independent Healthcare Management, Inc. 516 Airport Rd Forest MS 39074-4032 Ph: (601) 469-4151 |
| NPI Number | 1295465805 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295465805 | NPI | - | NPPES |
| 13-033 | Other | MS | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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