Organization
MANTACHIE RURAL HEALTH CARE, INC
Active
Parent organization
MANTACHIE RURAL HEALTH CARE, INC
Other names
Mantachie Rural Health Care, Inc. Dorsey School
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANTACHIE RURAL HEALTH CARE, INC
Authorized official
KAREN CRABB BURNS (COO)
(662) 282-4226
Entity
Organization
Contact information
Practice address
1 DORSEY SCHOOL RD, FULTON, MS 38843-8899
(662) 282-4226
(662) 282-7946
Mailing address
5681 HIGHWAY 363, MANTACHIE, MS 38855-7632
(662) 282-4226
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/13/2023
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