{"npi":"1306909734","type":"NPI-2","status":"active","name":{"display":"Independent Healthcare Management, Inc.","other":[],"organization_name":"INDEPENDENT HEALTHCARE MANAGEMENT, INC.","authorised_official":"John Lee"},"specialty":{"primary_taxonomy":"282NC0060X","primary_taxonomy_description":"Critical Access Hospital","slug":"critical-access-hospital","schema_org_specialty":null,"all":[{"code":"282NC0060X","description":"Critical Access Hospital","primary":true,"state":"MS","license":"13-033"}]},"addresses":[{"purpose":"LOCATION","street_1":"330 N BROAD ST","city":"FOREST","state":"MS","postal_code":"390743508","country_code":"US","phone":"6014694151","fax":"6014693681"},{"purpose":"MAILING","street_1":"PO BOX D","city":"FOREST","state":"MS","postal_code":"390740558","country_code":"US","phone":"6014694151"}],"license":{"state":"MS","number":"13-033"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00220324","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"09013565","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"09013844","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20031215000487","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MS","pac_id":"0840197232"},{"enrlmt_id":"O20120111000488","type_code":"00-85","type_desc":"PART A PROVIDER - CRITICAL ACCESS HOSPITAL","state":"MS","pac_id":"0840197232"}]},"enumeration_date":"2006-12-18","last_updated":"2023-07-26","_meta":{"source":"NPPES","snapshot_date":"2023-07-26","doc_url":"https://findmynpi.com/api"}}