Sharkey Issaquena Comm Hosp - Ekg
Organization Active NPI General Acute Care Hospital · Rolling Fork, MS
NPI 1487954442 · NPPES record last updated Oct 25, 2010
Key facts
- NPI
- 1487954442
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- SHARKEY ISSAQUENA COMM HOSP - EKG
- Practice address
- 47 S Fourth St
Rolling Fork, MS 39159-5146 - Phone
- (662) 873-5171
- Fax
- (662) 873-5194
- NPI assigned
- Oct 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Kimberly Loreto
- Title
- Director His / Business Office
- Phone
- (662) 873-5171
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Sharkey Issaquena Comm Hosp-ER
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
47 S Fourth St
Rolling Fork, MS 39159-5146
Mailing address
47 S Fourth St
Rolling Fork, MS 39159-5146
Phone (662) 873-5171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09013018 | Medicaid | MS |
Other providers in Rolling Fork, MS
- RCG of Mayersville, LLC
- Rolling Fork Drug Co
- Rolling Fork Drug Co
- Rolling Fork Eye Clinic
- Rolling Fork Medical Clinic, LLC
- Sharkey Issaquena Comm Hosp-Ambulance
- Sharkey Issaquena Comm Hosp-ER
- Sharkey Issaquena Comm Hospital - Radiology
- Sharkey Issaquena Community Hospital
- Sharkey Issaquena Community Hospital
All providers in Rolling Fork, MS · General Acute Care Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.