| Mantachie Rural Health Care, Inc. Dorsey School | |
|
1 Dorsey School Rd Fulton MS 38843-8899 | |
| (662) 282-4226 | |
| (662) 282-7946 |
| Full Name | Mantachie Rural Health Care, Inc. Dorsey School |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Dorsey School Rd, Fulton, Mississippi |
| Authorized Official Name and Position | Karen Crabb Burns (COO) |
| Authorized Official Contact | 6622824226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mantachie Rural Health Care, Inc. Dorsey School 5681 Highway 363 Mantachie MS 38855-7632 Ph: (662) 282-4226 | Mantachie Rural Health Care, Inc. Dorsey School 1 Dorsey School Rd Fulton MS 38843-8899 Ph: (662) 282-4226 |
| NPI Number | 1447031943 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 2567372121 |
|---|---|
| Medicare Enrollment ID | O20240312001615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447031943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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