MANTACHIE RURAL HEALTH CARE, INC
NPI 1508652330
Clinic/Center - Federally Qualified Health Center (FQHC) in Fulton, MS

NPI Status: Active since April 17, 2025

Contact Information

905 BETHEL CHURCH RD
FULTON, MS
ZIP 38843
Phone: (662) 282-4226
Fax: (662) 282-7946

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About MANTACHIE RURAL HEALTH CARE, INC

This page provides the complete NPI Profile along with additional information for Mantachie Rural Health Care, Inc, a primary care provider established in Fulton, Mississippi operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1508652330 assigned on April 2025. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated April 2025. The authorized official of this NPI record is Karen Crabb Burns (Coo)

NPI
1508652330
Provider Name
MANTACHIE RURAL HEALTH CARE, INC
Entity Type
Organization
Location Address
905 BETHEL CHURCH RD FULTON, MS 38843
Location Phone
(662) 282-4226
Location Fax
(662) 282-7946
Mailing Address
5681 HIGHWAY 363 MANTACHIE, MS 38855
Mailing Phone
(662) 282-4226
Mailing Fax
(662) 282-7946
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2025
Last Update Date
04-17-2025
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A primary care provider (PCP) like Mantachie Rural Health Care, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN CRABB BURNS

Authorized Official Title
COO
Authorized Official Phone
(662) 282-4226

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508652330
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508125436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 2 + 5 + 4 + 3 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1508652330 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508652330, enumerated in the NPI registry as an "organization" on April 17, 2025

The provider is located at 905 Bethel Church Rd Fulton, Ms 38843 and the phone number is (662) 282-4226

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

This NPI record was last updated on April 17, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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