Organization
SHARKEY-ISSAQUENA COMMUNITY HOSPITAL
Active
Other names
Sharkey Issaquena Nursing Home, Sharkey-Issaquena Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN G. KEEVER (ADMINISTRATOR)
(662) 873-4395
Entity
Organization
Contact information
Practice address
431 WEST RACE STREET, ROLLING FORK, MS 39159
(662) 873-6218
(662) 873-6050
Mailing address
431 WEST RACE STREET, ROLLING FORK, MS 39159
(662) 873-6218
(662) 873-6050
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
539
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230129
—
MS
01
—
80489
BLUE CROSS BLUE SHIELD
MS
Enumeration date
05/04/2006
Last updated
01/08/2025
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