# MANTACHIE RURAL HEALTH CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mantachie Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033169545
- **Authorized official:** MRS. PATSY T COLLINS (CEO)
- **Authorized official phone:** (662) 282-4226

## Contact information

- **Practice address:** 5681 HIGHWAY 363, MANTACHIE, MS 38855-7632
- **Practice address phone:** (662) 282-4226
- **Practice address fax:** (662) 282-7946
- **Mailing address:** 5681 HIGHWAY 363, MANTACHIE, MS 38855-7632
- **Mailing address phone:** (662) 282-4226
- **Mailing address fax:** (662) 282-7946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 02/10/2014