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MANTACHIE RURAL HEALTH CARE INC NPI 1912774183


NPI Information

NPI: 1912774183
Provider Name: MANTACHIE RURAL HEALTH CARE, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5681 HIGHWAY 363
MANTACHIE, MS
ZIP 38855
Phone: (662) 282-4226
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MANTACHIE RURAL HEALTH CARE, INC is a federally qualified health center (fqhc) clinic center in Mantachie, MS. MANTACHIE RURAL HEALTH CARE, INC NPI is 1912774183. The provider is registered as an organization entity type.

The provider's business location address is:

5681 HIGHWAY 363
MANTACHIE, MS
ZIP 38855-632
Phone: (662) 282-4226

The provider's authorized official is Karen Crabb Burns .
The authorized official title is Coo and has the following contact phone number (662) 282-4226.

The enumeration date for this NPI number is 12/7/2023 and was last updated on 12/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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