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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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