SHARKEY ISSAQUENA MEDICAL CLINIC
NPI 1073118501
Clinic/Center - Multi-Specialty in Rolling Fork, MS

Active since December 02, 2020CLIA 25D2216213 · Waiver
283 W RACE ST, ROLLING FORK, MS 39159(662) 873-4395 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2023, Sep 13, 2022, Mar 4, 2022 and 1 more (4 updates tracked since 2020).

About Sharkey Issaquena Medical Clinic NPPES

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

SHARKEY ISSAQUENA MEDICAL CLINIC (NPI 1073118501) is a healthcare organization registered as a multi-specialty in Rolling Fork, Mississippi and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Steven Gerald Keever, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073118501
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSHARKEY ISSAQUENA COMMUNITY HOSPITAL
Location Address283 W RACE STRolling Fork, MS 39159-2621
Mailing AddressPo Box 339Rolling Fork, MS 39159-0339 · (662) 873-4395
Organization SubpartNo
Authorized OfficialSteven Gerald KeeverCeo · (662) 873-4395
Enumeration DateDecember 2, 2020
Last NPPES UpdateMay 11, 20234 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
NPI 1073118501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
283 W RACE ST, Rolling Fork, MS 39159

Other Names 1

Doing Business AsSharkey Issaquena Medical Clinic

Accepted 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 Waiver 25D2216213

Sharkey Issaquena Medical Clinic · Rolling Fork, MS
Active · expires Mar 9, 2027
CLIA Number25D2216213
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorDr. Andrew George
Laboratory Phone(662) 873-0477
Laboratory LocationSharkey Issaquena Medical Clinic283 W Race St, Rolling Fork, MS 39159
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine
283 W RACE ST
ROLLING FORK, MS 39159
Family Medicine
283 W RACE ST
ROLLING FORK, MS 39159
Physician Assistant
283 W RACE ST
ROLLING FORK, MS 39159
Clinic/Center (Rural Health)
283 W RACE ST
ROLLING FORK, MS 39159

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 1073118501. It was assigned to this organization in the NPPES registry on December 2, 2020. The provider is doing business as Sharkey Issaquena Medical Clinic.

Where is Sharkey Issaquena Community Hospital located?

Sharkey Issaquena Community Hospital is located at 283 W Race 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 Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Sharkey Issaquena Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2216213) is associated with this NPI, valid through March 9, 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 1 other insurer 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 May 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.