NPIMap

Mantachie Rural Health Care, Inc

A Medicare group practice based in Fulton, MS: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2567372121), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2567372121The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
6
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20030515000039 MS Part A Provider - Federally Qualified Health Center (FQHC) 1033169545
O20040921000610 MS Part B Supplier - Clinic/Group Practice 1033169545
O20260408002852 MS Part B Supplier - Clinic/Group Practice 1508652330
O20251022000971 MS Part A Provider - Federally Qualified Health Center (FQHC) 1508652330
O20240312001615 MS Part A Provider - Federally Qualified Health Center (FQHC) 1447031943
O20161216000863 MS Part A Provider - Federally Qualified Health Center (FQHC) 1720589070

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 13

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (12).

Sources for this page