| NPI | 1952326241 |
|---|---|
| Doing Business As | S.E. LACKEY MEMORIAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JOHN P LEE Chairman Of The Board 601-849-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 13-033) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-05-26 |