Sharkey Issaquena Community Hospital

LBN: Sharkey Issaquena Community Hospital
Sharkey Issaquena Community Hospital is an health care organization with primary practice located at 47 S Fourth St , Rolling Fork MS 39159-5146. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Hospitals / Critical Access. Hospitals / General Acute Care Hospital is the primary health care specialty. Sharkey Issaquena Community Hospital can be contacted via phone (662) 873-4395, or through Keever, Steven Gerald via phone (662) 873-4395.

Contact Information

Primary practice address
47 S Fourth St Rolling Fork MS 39159-5146
Phone: (662) 873-4395
Fax: (662) 873-5188
Website:
Map and Directions
Authorized official contact:
Name: Keever, Steven Gerald
Phone: (662) 873-4395

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 21-172 Mississippi
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1013004795
LBN Legal business name Sharkey Issaquena Community Hospital
DBA Doing business as
Authorized official Keever, Steven Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013004795 NPPES
Mississippi MEDICAID 9013019
Mississippi MEDICAID 9013018
Mississippi MEDICAID 0020129
Mississippi Other 20129
Mississippi MEDICAID 0050033
Mississippi MEDICAID 0029129

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