NPIMap

Organization Active NPI

Mantachie Rural Health Care, Inc

Doing business as Mantachie Rural Health Care, Inc. Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Mantachie, MS
National Provider Identifier
1912774183
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MANTACHIE RURAL HEALTH CARE, INC
Doing business as
Mantachie Rural Health Care, Inc. Mobile Unit
Practice address
5681 Highway 363
Mantachie, MS 38855-7632
Phone
(662) 282-4226
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Crabb Burns
Title
Coo
Phone
(662) 282-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5681 Highway 363
Mantachie, MS 38855-7632

Mailing address

5681 Highway 363
Mantachie, MS 38855-7632
Phone (166) 225-5156

Other names 1

  • Mantachie Rural Health Care, Inc. Mobile Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mantachie Rural Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1912774183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 HIGHWAY 363",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388557632",
            "telephone_number": "166-225-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 HIGHWAY 363",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388557632",
            "telephone_number": "662-282-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTACHIE RURAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "CRABB",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "662-282-4226"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mantachie Rural Health Care, Inc. Mobile Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mantachie, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.