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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHARKEY ISSAQUENA COMMUNITY HOSPITAL
NPI 1013004795
General Acute Care Hospital in Rolling Fork, MS

Active since October 06, 2006CLIA 25D0317776 · Certificate of Compliance
47 S FOURTH ST, ROLLING FORK, MS 39159(662) 873-4395(662) 873-5188 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Feb 27, 2023, Jan 27, 2023 and 1 more (4 updates tracked since 2022).

About Sharkey Issaquena Community Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARKEY ISSAQUENA COMMUNITY HOSPITAL (NPI 1013004795) is a healthcare organization registered as a general acute care hospital in Rolling Fork, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 1, 2027 and lists Steven Gerald Keever, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013004795
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameSHARKEY ISSAQUENA COMMUNITY HOSPITAL
Location Address47 S FOURTH STRolling Fork, MS 39159-5146
Mailing AddressPo Box 339Rolling Fork, MS 39159-0339 · (662) 873-4395 · Fax (662) 873-6741
Phone(662) 873-4395
Fax(662) 873-5188
Organization SubpartNo
Authorized OfficialSteven Gerald KeeverAdministrator · (662) 873-4395
Enumeration DateOctober 6, 2006
Last NPPES UpdateJune 23, 20264 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1013004795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in MS · 21-172
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X
47 S FOURTH ST, Rolling Fork, MS 39159
Open in Google Maps ↗

Other Identifiers 6

Medicaid9013019MS
Medicaid9013018MS
Medicaid0020129MS
Other20129MS · Blue Cross Blue Shield
Medicaid0050033MS
Medicaid0029129MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0317776

Sharkey Issaquena Community Hospital · Rolling Fork, MS
Active · expires Jun 1, 2027
CLIA Number25D0317776
Laboratory TypeHospital
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorMarsha Lucas
Laboratory Phone(662) 873-4395
Laboratory LocationSharkey Issaquena Community Hospital19719 Hwy 61, Rolling Fork, MS 39159
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARKEY ISSAQUENA COMM HOSPITAL - RADIOLOGY
Clinic/Center (Radiology)
47 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-5171
SHARKEY ISSAQUENA COMM HOSP-ER
Clinic/Center (Emergency Care)
47 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-5171
SHARKEY ISSAQUENA COMM HOSP-AMBULANCE
Ambulance
47 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-5171
OLIVIA GAYLE KING PTA
Physical Therapy Assistant
47 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-6051
SHARKEY ISSAQUENA COMMUNITY HOSPITAL
General Acute Care Hospital
47 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4395
SHARKEY ISSAQUENA COMM HOSP - EKG
General Acute Care Hospital
47 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-5171
DR. BENJAMIN OZBUN MD
Family Medicine
47 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-5205
SHARKEY-ISSAQUENA COMMUNITY HOSPITAL
General Acute Care Hospital
47 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharkey Issaquena Community Hospital's NPI number?

The NPI number for Sharkey Issaquena Community Hospital is 1013004795. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Sharkey Issaquena Community Hospital located?

Sharkey Issaquena Community Hospital is located at 47 S Fourth St, Rolling Fork, MS 39159. The listed phone number is (662) 873-4395.

What is Sharkey Issaquena Community Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Sharkey Issaquena Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0317776) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sharkey Issaquena Community Hospital accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Sharkey Issaquena Community Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sharkey Issaquena Community Hospital was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.