Organization
SHARKEY ISSAQUENA COMM HOSP-AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN GERALD KEEVER (CEO)
(662) 873-4395
Entity
Organization
Contact information
Practice address
47 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-5171
(662) 873-5194
Mailing address
47 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-5171
(662) 873-5194
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050033
—
MS
Enumeration date
10/25/2010
Last updated
01/27/2023
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