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Organization

SHARKEY ISSAQUENA COMMUNITY HOSPITAL

Active
Parent organization
SHARKEY ISSAQUENA COMMUNITY HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHARKEY ISSAQUENA COMMUNITY HOSPITAL
Authorized official
STEVEN GERALD KEEVER (ADMINISTRATOR)
(662) 873-4395
Entity
Organization

Contact information

Practice address
47 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-4395
(662) 873-5188
Mailing address
47 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-4395

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
21-172
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000029129
MS
01
25Z338
MEDICARE PTAN
MS
Enumeration date
10/31/2008
Last updated
02/16/2023
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