330 Broad St Forest, MS 39074-3508

Incidents registered in Federal Emergency Management Agency

01 Jul 2003 Smoke or odor removal

Property Use:

Hospital - medical or psychiatric

Actions Taken:

Organization	Phone Number	Additional Info
Heather Taylor	601-*-**	Categories: Nurse Practitioners
Lackey Memorial Hospital	601-*- 601--* 601--***	Categories: Health & Wellness Programs Industry: Hospitals SIC: 8062 - General Medical and Surgical Hospitals Site: lackeymemorialhospital.com
SE Lackey CAH and Swing-Bed	601-*-**	Industry: Hospitals, Family Doctor
S E Lackey Memorial Hospital	601-*- 601--***	Industry: Hospitals SIC: 8062 - General Medical and Surgical Hospitals Site: selackey.com
Terry Meadows DO	601-*-**	Industry: Family Doctor
Wade Plauche MD	601-*-**	Industry: Radiology
Nat***	601-*-**	Type: Medical CRNA (Certified registered nurse anesthetist)
Jim***	601-*- 601--***	Type: Medical CRNA (Certified registered nurse anesthetist)
Ral***, 70	601-*- 601--***	Type: Medical MD (Doctor of Medicine)
Kat***	601-*- 601--***	Type: Medical CFNP
LACKEY CONVALESCENT HOME	601-*-**	Industry: Nursing Homes
Marion Sorrels DO	601-*-**	Industry: Family Doctor
Ror***	601-*- 601--***	Type: Medical FNP (Family Nurse Practitioner)
Rut***	601-*- 601--***	Type: Medical FNP (Family Nurse Practitioner)
Hea***	601-*- 601--***	Type: Medical FNP (Family Nurse Practitioner)
Willard Speed MD		Industry: Family Doctor
Tho***		Organization: SE Lackey CAH and Swing-Bed Specialties: Emergency Medicine, Surgery
Bru***, 73		Type: Medical MD (Doctor of Medicine)

Person Name	Phone Number	Additional Info
Lac***	601-*-**
Cli***	601-*-**
Dor***	601-*-**
The***	601-*-**
Loi***	601-*-**
Bet***	601-*-**
Hor***	601-*-**
W L***	601-*-**
T H***	601-*-**
Myr***	601-*-**
M H***	601-*-**
Nao***	601-*-**
G T***	601-*-**
Mae***	601-*-**
Eli***	601-*-**
Atl***	601-*-**	Type: Renter Job: Executive, Administrative, and Managerial Occupations School/College: Bachelor's degree or higher Email: [email protected]
Oth***	601-*-**
Kat***	601-*-**
Rub***	601-*-**
Hil***	601-*-**

Organization	Phone Number	Additional Info
Independent Healthcare Management, Inc.	601-*- 601--* 601--***	Industry: Hospital & Health Care, General Hospital SIC6: 806200 - General hospital Site: lackeymemorial.com

Street Address	People
268 Broad St, Forest, MS 39074-3506	Mel***
278 Broad St, Forest, MS 39074-3506	Luc*, Rog*
291 Broad St, Forest, MS 39074-3505	ADVANCED INFORMATION MANAGEMENT INC, A R***
313 Broad St, Forest, MS 39074-3507	Gambrell Medical Clinic, Dan***
320 Broad St, Forest, MS 39074-3508	Sco***
331 Broad St, Forest, MS 39074-3507	Daniel Gambrell MD, Dan***
333 Broad St, Forest, MS 39074-3507	Sus*, Myr*
452 Broad St, Forest, MS 39074-3510	Mal*, Mel*
454 Broad St, Forest, MS 39074-3510	Olg*, Ros*
456 Broad St, Forest, MS 39074-3510	She*, Wil*