INDEPENDENT HEALTHCARE MANAGEMENT, INC (NPI# 1275130601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275130601 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT HEALTHCARE MANAGEMENT, INC |
| Practice Address |
9425 Eastside Drive Ext Ste B Newton MS 39345-8069 |
| Mailing Address |
100 Pioneer Way Magee MS 39111-5501 |
| Practice Telephone | 6016830330 |
| Practice Fax Number | 6016353746 |
| Mailing Telephone | 6018496440 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | JOHN P LEE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6014694861 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | LICENSE | 13033 | 01 |
| Other Name | Type Code |
|---|---|
| Lackey Pain Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1649761685 | Independent Healthcare Management, Inc | Family Medicine | 1 Medical Ln Ste B, Forest, MS 39074-4039 | 2018-05-25 |
| 1891735692 | Independent Healthcare Management, Inc | General Acute Care Hospital | 330 N Broad St, Forest, MS 39074-3508 | 2006-06-08 |
| 1952326241 | Independent Healthcare Management, Inc | Medicare Defined Swing Bed Unit | 330 N Broad St, Forest, MS 39074-3508 | 2006-07-13 |
| 1407872773 | Independent Healthcare Management, Inc | Psychiatric Unit | 330 N Broad St, Forest, MS 39074-3508 | 2006-07-13 |
| Street Address |
9425 EASTSIDE DRIVE EXT STE B |
| City | NEWTON |
| State | MS |
| Zip Code | 39345-8069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154703650 | Medicomp, Inc | Physical Therapist | 9425 Eastside Drive Ext Ste B, Newton, MS 39345-8069 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1750838330 | Newton Dme and Supply | Durable Medical Equipment & Medical Supplies | 909 Mlkjrdr, Newton, MS 39345 | 2016-09-01 |
| 1669743233 | Pioneer Health Services of Newton County, LLC | Clinic/Center | 9427 Eastside Drive Ext. Suite A, Newton, MS 39345 | 2012-01-13 |
| 1346435633 | Laticia Bickham | Counselor | 2901 Pine Bluff Rd, Newton, MS 39345 | 2007-09-10 |
| 1134262553 | Buren Steve Smith Jr. | Psychologist | 701 Northside Dr, Newton, MS 39345 | 2007-02-15 |
| 1982782694 | East Central Planning & Development District | Case Management | 280 Commercial Dr, Newton, MS 39345 | 2006-11-01 |
| 1013283829 | Vanessa Norman | Nurse Practitioner | 252 Northside Dr, Newton, MS 39345 | 2012-03-26 |
| 1669612198 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2009-02-24 |
| 1063667939 | Newton Hospital, Inc | General Acute Care Hospital | 9421 Eastside Drive Extention, Newton, MS 39345 | 2008-11-19 |
| 1629143136 | Pioneer Health Services of Newton County, LLC | Psychiatric Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2006-11-21 |
| Find all providers in zip 39345 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538622436 | Onduo Professionals of Texas, P.a. | Clinic/Center | 55 Chapel St Ste 200, Newton, MA 02458-1070 | 2019-04-09 |
| 1306319280 | Onduo Professionals of Kansas, P.a. | Clinic/Center | 55 Chapel St Ste 300, Newton, MA 02458-1074 | 2019-01-03 |
| 1720556541 | Onduo Professionals of California PC | Clinic/Center | 55 Chapel St Ste 203, Newton, MA 02458-1095 | 2018-11-09 |
| 1306358619 | Audiology Services Company Usa, LLC | Clinic/Center | 222 High St Ste 105, Newton, NJ 07860-9604 | 2017-10-26 |
| 1396118378 | Independent Healthcare Management, Inc. | Clinic/Center | 9427 Eastside Drive Ext, Suite A, Newton, MS 39345-8063 | 2015-11-12 |
| 1477704989 | Perrotti Chiropractic LLC | Clinic/Center | 98 Sparta Ave., Suite 2, Newton, NJ 07860-2636 | 2008-10-02 |
| 1730364340 | Unifour Family Health Care LLC | Clinic/Center | 3451 Graystone Pl Se, Newton, NC 28613-8200 | 2008-01-02 |
| 1831398072 | Robert Simmons, Md | Clinic/Center | 4930 Nw 12th St, Newton, KS 67114-8609 | 2007-07-17 |
| 1942359674 | Riverside Community Care | Clinic/Center | 1244 Chestnut St, Na, Newton, MA 02464-1418 | 2007-01-10 |
| 1669013686 | Onduo Professionals, P.C. | Clinic/Center | 55 Chapel St Ste 203, Newton, MA 02458-1095 | 2019-10-01 |
| Find all providers in NEWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.