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General NPI Number Information
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NPI Number | 1851013353
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Entity Type | Organization
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Legal Business Name | SHARKEY ISSAQUENA COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 25 S FOURTH ST
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City | ROLLING FORK
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State | MS
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Zip | 39159-5146
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Country | US
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Telephone | 662-873-5222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 339
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City | ROLLING FORK
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State | MS
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Zip | 39159-0339
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Country | US
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Telephone | 662-873-4395
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | SARAH J RODGERS
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Credential |
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Telephone | 662-873-5174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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