SHARKEY ISSAQUENA COMM HOSP-AMBULANCE NPI 1043510001

NPI Information

  • NPI: 1043510001
  • Provider Name: SHARKEY ISSAQUENA COMM HOSP-AMBULANCE
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • Address: 47 S FOURTH ST
    ROLLING FORK, MS
    ZIP 39159
  • Phone: (662) 873-5171

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NPI Details

SHARKEY ISSAQUENA COMM HOSP-AMBULANCE is an ambulance in Rolling Fork, MS. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). SHARKEY ISSAQUENA COMM HOSP-AMBULANCE NPI is 1043510001. The provider is registered as an organization entity type.

The provider's business location address is:

47 S FOURTH ST
ROLLING FORK, MS
ZIP 39159-146
Phone: (662) 873-5171
Fax: (662) 873-5194

The provider's authorized official is Steven Gerald Keever .
The authorized official title is Ceo and has the following contact phone number (662) 873-4395.

The enumeration date for this NPI number is 10/25/2010 and was last updated on 1/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulanceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100050033MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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