# SHARKEY ISSAQUENA COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sharkey Issaquena Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073118501
- **Authorized official:** STEVEN GERALD KEEVER (CEO)
- **Authorized official phone:** (662) 873-4395

## Contact information

- **Practice address:** 283 W RACE ST, ROLLING FORK, MS 39159-2621
- **Practice address phone:** (662) 873-4395
- **Mailing address:** PO BOX 339, ROLLING FORK, MS 39159-0339
- **Mailing address phone:** (662) 873-4395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 05/11/2023