| Mantachie Clinic | |
|
5681 Highway 363 Mantachie MS 38855-7632 | |
| (662) 282-4226 | |
| (662) 282-7946 |
| Full Name | Mantachie Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5681 Highway 363, Mantachie, Mississippi |
| Authorized Official Name and Position | Patsy T Collins (CEO) |
| Authorized Official Contact | 6622824226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mantachie Clinic 5681 Highway 363 Mantachie MS 38855-7632 Ph: (662) 282-4226 | Mantachie Clinic 5681 Highway 363 Mantachie MS 38855-7632 Ph: (662) 282-4226 |
| NPI Number | 1033169545 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 02/10/2014 |
| Medicare PECOS PAC ID | 2567372121 |
|---|---|
| Medicare Enrollment ID | O20030515000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033169545 | NPI | - | NPPES |
| 09014269 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mantachie Rural Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Mustang Drive, Mantachie, MS 38855 Phone: 662-282-7161 Fax: 662-282-7536 | |
Mantachie Rural Health Care, Inc. Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 Hwy 363, Mantachie, MS 38855 Phone: 662-282-4226 Fax: 662-282-7946 | |
Mantachie Rural Health Care Inc Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5510 Hwy 363, Mantachie, MS 38855 Phone: 662-282-4226 Fax: 662-282-7946 | |
Mantachie Rural Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5681 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226 |