Organization · Type 2 NPI
Mantachie Rural Health Care, Inc. Dental
Federally Qualified Health Center (FQHC) · Mantachie, MS
NPI number
1063779130
Active
Practice location
5500 Hwy 363
Mantachie, MS 38855-7197
Fax (662) 282-7946
Mailing address
5681 Hwy 363
Mantachie, MS 38855-7197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Mantachie
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- Mantachie Rural Health Care, IncFederally Qualified Health Center (FQHC) Mantachie, MS NPI 1720589070
- Mantachie Rural Health Care, IncFederally Qualified Health Center (FQHC) Mantachie, MS NPI 1912774183
About NPI 1063779130
Mantachie Rural Health Care, Inc. Dental's National Provider Identifier is 1063779130, issued on Apr 13, 2012. 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 Oct 2, 2023.