MANTACHIE RURAL HEALTH CARE, INC – NPI #1053885673
Clinic/Center

MANTACHIE RURAL HEALTH CARE, INC is an AHC clinic located in MANTACHIE, MS. NPPES has assigned the NPI number 1053885673 to MANTACHIE RURAL HEALTH CARE, INC on January 16, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Apr 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANTACHIE RURAL HEALTH CARE, INC below.

NPI Profile for
MANTACHIE RURAL HEALTH CARE, INC

NPI Number
1053885673
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MANTACHIE RURAL HEALTH CARE, INC
Primary location
311 MUSTANG DRIVE
MANTACHIE, MS 38855
Phone: (662) 282-7161 Fax: (662) 282-7536
Mailing address
5681 HWY 363
MANTACHIE, MS 38855
Phone: (662) 282-4226 Fax: (662) 282-7946
Organization Subpart
Yes - MANTACHIE RURAL HEALTH CARE, INC is subpart of another organization.
Authorized Official
KAREN BURNS
OFFICE MANAGER
Phone: (662) 282-4226
Updated
Certification Date
Apr 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.