Organization
MANTACHIE RURAL HEALTH CARE, INC
Active
Other names
Mantachie Rural Health Care, Inc. Mobile Unit
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CRABB BURNS (COO)
(662) 282-4226
Entity
Organization
Contact information
Practice address
5681 HIGHWAY 363, MANTACHIE, MS 38855-7632
(662) 282-4226
Mailing address
5681 HIGHWAY 363, MANTACHIE, MS 38855-7632
(166) 225-5156
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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