Organization

Sharkey Issaquena Comm Hospital - Radiology

Radiology Clinic/Center in Rolling Fork, MS(View on Map)

Legal Business Name

Sharkey Issaquena Comm Hospital - Radiology

NPI Number

1013217074

NPI Type

Organization

Enumeration Date

10/25/2010

Specialties

(Taxonomies)

Code

261QR0200X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

47 S FOURTH ST
47 S FOURTH ST

City

Rolling Fork
Rolling Fork

State

MS
MS

Postal Code

39159-5146
39159-5146

Country

US
US

Telephone Number

(662) 873-5171
(662) 873-5171

Authorized Official

Name

Kimberly Loreto

Title or Position

DIRECTOR HIS / BUSINESS OFFICE

Telephone Number

(662) 873-5171

Identifiers

Identifier

09013318

Identifier State

MS

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/25/2010

Provider Address