INDEPENDENT HEALTHCARE MANAGEMENT I - Forest Family Medical Clinic

Filed under INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL, which files the Medicare cost report for this system.

Taking partNoTermination date filedOctober 1, 2023Last certifiedSeptember 19, 2022

0Registered locations
1Associated locations
0Contract pharmacies
0With no end date
January 1, 2020In 340B since

INDEPENDENT HEALTHCARE MANAGEMENT I - Forest Family Medical Clinic among Mississippi Critical access hospital registrations

Mississippi has 131 active Critical access hospital registrations in the HRSA 340B register. CAH251300-12 began participating on January 1, 2020; 80 of the Mississippi registrations of its type began earlier. Forest has 7 active registrations of every type.

Other 340B registrations in Forest

INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL: Critical access hospital, CAH251300-00, participating since January 1, 2011
INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL: Critical access hospital, CAH251300-03, participating since October 1, 2014
INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL: Critical access hospital, CAH251300-04, participating since January 1, 2015
INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL: Critical access hospital, CAH251300-10, participating since April 1, 2016
INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL: Critical access hospital, CAH251300-14, participating since January 1, 2024
SCOTT COUNTY HEALTH DEPARTMENT: Sexually transmitted disease clinic, STD39074, participating since January 1, 2022
SCOTT COUNTY HEALTH DEPARTMENT: Tuberculosis clinic, TB39074, participating since January 1, 2022

Across INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL, 67 contract pharmacies are on file. This location is filed at 1 MEDICAL LN STE B, FOREST FAMILY PRACTICE, FOREST MS 39074.

Finances, as filed

This record is a location registered under INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL, which files the Medicare cost report. The finances are on that record.

Community benefit, as filed

This record is a location registered under INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL. Community benefit is on that record.

Executive and director compensation, as filed

This record is a location registered under INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL. Executive and director compensation is on that record.

Changes recorded

Nothing on this record has moved since it was first read here on September 6, 2026.

Participation, as filed

Participating: FALSE
Participation start date: January 1, 2020
Termination date: October 1, 2023
Termination reason: Business decision by the Covered Entity
Certification date: September 19, 2022
Record last edited: October 1, 2023

Identifiers

340B ID: CAH251300-12
Entity type as filed: CAH
CMS certification number: 251300
Rural: Yes

1 MEDICAL LN STE B, FOREST FAMILY PRACTICE, FOREST MS 39074

Associated locations


INDEPENDENT HEALTHCARE MANAGEMENT I - Forest Family Medical Clinic	1 MEDICAL LN STE B, FOREST FAMILY PRACTICE	FOREST MS 39074

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261112_071011.xlsx, stamped by its publisher November 12, 2026. This record has been read here since September 6, 2026.

How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261112_071011.xlsx, read November 12, 2026.

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INDEPENDENT HEALTHCARE MANAGEMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL is a critical access hospital located in Forest, MS. The entity began participation in 2020 and was certified in 2022.