SHARKEY ISSAQUENA COMM HOSP-AMBULANCE
NPI 1043510001
Ambulance in Rolling Fork, MS
NPI Status: Active since October 25, 2010
Contact Information
47 S FOURTH ST
ROLLING FORK, MS
ZIP 39159
Phone: (662) 873-5171
Fax: (662) 873-5194
- Organization
- Ambulance
- CLIA Number: 25D0317776
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 06-01-2027
About SHARKEY ISSAQUENA COMM HOSP-AMBULANCE
This page provides the complete NPI Profile along with additional information for Sharkey Issaquena Comm Hosp-ambulance, a provider established in Rolling Fork, Mississippi operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1043510001 assigned on October 2010. The practitioner's primary taxonomy code is 341600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Steven Gerald Keever (Ceo)
- NPI
- 1043510001
- Provider Name
- SHARKEY ISSAQUENA COMM HOSP-AMBULANCE
- Entity Type
- Organization
- Location Address
- 47 S FOURTH ST ROLLING FORK, MS 39159
- Location Phone
- (662) 873-5171
- Location Fax
- (662) 873-5194
- Mailing Address
- 47 S FOURTH ST ROLLING FORK, MS 39159
- Mailing Phone
- (662) 873-5171
- Mailing Fax
- (662) 873-5194
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2010
- Last Update Date
- 01-27-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ambulance
- Taxonomy Code
- 341600000X
- Type
- Transportation Services
- Taxonomy Description
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00050033 | MEDICAID (05) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0317776
- Facility Type
- Hospital
- Certificate Effective Date
- June 02, 2025
- Certificate Expiration Date
- June 01, 2027
- Laboratory Director
- MARSHA LUCAS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Sharkey Issaquena Comm Hosp-ambulance after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043510001, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 39. The final step is to find the difference between that total and the next multiple of ten (40 - 39 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 39 is 40. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
ROLLING FORK, MS 39159
ROLLING FORK, MS 39159
ROLLING FORK, MS 39159
ROLLING FORK, MS 39159
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043510001, enumerated as an "organization" on October 25, 2010.
The provider is located at 47 S FOURTH ST ROLLING FORK, MS 39159 and the phone number is (662) 873-5171.
Ambulance with taxonomy code 341600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
