Organization
MANTACHIE RURAL HEALTH CARE, INC
Active
Organization
MANTACHIE RURAL HEALTH CARE, INC
Active
Other names
Mantachie Rural Health Care, Inc, Mantachie Rural Health Care Inc Behavioral Health, Mantachie Rural Health Care Inc Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CRABB BURNS (OFFICE MANAGER)
(662) 282-4226
Entity
Organization
Contact information
Practice address
5510 HWY 363, MANTACHIE, MS 38855
(662) 282-4226
(662) 282-7946
Mailing address
5510 HIGHWAY 363, MANTACHIE, MS 38855-7197
(662) 282-4226
(662) 282-7946
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08581013
—
MS
Enumeration date
02/22/2018
Last updated
04/15/2026
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