Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independent Healthcare Management, Inc

Organization Clinic/Center · NPI 1154670719

Independent Healthcare Management, Inc is a Clinic/Center in Forest, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1129 Highway 35 S Ste 1
Forest, MS 39074-8829
Phone: (601) 849-6440
Fax: (601) 849-1318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Clinic/Center Taxonomy 261Q00000X · Licence 13-033 (MS)

Record details

NPI number1154670719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lee — Chairman Of The Board · (601) 849-6440
Other names Lackey Pediatric Clinic; Lackey Pediatric Clinic
NPI enumeratedAugust 29, 2012
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020
Mailing address1129 Highway 35 S, Suite 1, Forest, MS 39074-8829

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