Organization · Type 2 NPI
Mantachie Rural Health Care, Inc
Federally Qualified Health Center (FQHC) · Mantachie, MS
NPI number
1053885673
Active
Practice location
311 Mustang Drive
Mantachie, MS 38855
Fax (662) 282-7536
Mailing address
5681 Hwy 363
Mantachie, MS 38855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1053885673
Mantachie Rural Health Care, Inc's National Provider Identifier is 1053885673, issued on Jan 16, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mantachie, MS. The record was last updated on Apr 12, 2026.