OrganizationActive
Independent Healthcare Management, Inc
NPI 1407872773 · Psychiatric Hospital Unit · Forest, MS
Provider details
- NPI number
- 1407872773
- Entity type
- Organization
- Primary specialty
- Psychiatric Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Joseph Mcnulty, President(601) 849-4112
- License
- 13033 (MS)
Specialties & taxonomies
Hospital Units
Practice location
330 N Broad St
Forest, MS 39074-3508
Phone: (601) 469-4151
Fax: (601) 469-3681
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1100
Magee, MS 39111-1100
Other names (DBA / former)
- Doing business as
- S.e. Lackey Memorial Hospital
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2008-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.