| Organization Name: | INDEPENDENT HEALTHCARE MANAGEMENT, INC. |
| NPI Number: | 1306909734 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH S MCNULTY (PRESIDENT) |
| Mailing Address: | 330 N Broad St Forest |
| State: | MS US |
| Postal Code: | 390743508 |
| Phone Number: | 6014694151 |
| Fax Number: | 6014693681 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 12/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 13-033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |