| Independent Healthcare Management, Inc. | |
|
9427 Eastside Drive Ext Suite A Newton MS 39345-8063 | |
| (601) 681-0330 | |
| (601) 635-3746 |
| Full Name | Independent Healthcare Management, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9427 Eastside Drive Ext, Newton, Mississippi |
| Authorized Official Name and Position | John P Lee (COB) |
| Authorized Official Contact | 6018496440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Healthcare Management, Inc. 9427 Eastside Drive Ext Suite A Newton MS 39345-8063 Ph: (601) 681-0330 | Independent Healthcare Management, Inc. 9427 Eastside Drive Ext Suite A Newton MS 39345-8063 Ph: (601) 681-0330 |
| NPI Number | 1396118378 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 05/26/2020 |
| Medicare PECOS PAC ID | 0840197232 |
|---|---|
| Medicare Enrollment ID | O20160729000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396118378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 13-033 (Mississippi) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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