OrganizationActive
Independent Healthcare Management, Inc.
NPI 1245905405 · Clinic/Center · Forest, MS
Provider details
- NPI number
- 1245905405
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Lee, Chairman of Board(601) 469-4861
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 Airport Rd
Forest, MS 39074-4032
Phone: (601) 469-4151
Fax: (601) 469-3681
Street-level locationGet directions
Mailing address
Po Box 1460
Magee, MS 39111-1460
Other names (DBA / former)
- Doing business as
- Se Lackey Memorial Hospital
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.