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MANTACHIE CLINIC
NPI 1033169545
Family Medicine in Mantachie, MS

Active since May 12, 2006CLIA Certified · 3 labs
5681 HIGHWAY 363, MANTACHIE, MS 38855(662) 282-4226(662) 282-7946 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mantachie Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANTACHIE CLINIC (NPI 1033169545) is a healthcare organization registered as a family medicine in Mantachie, Mississippi and active in the NPI registry since May 2006. The organization holds 3 active CLIA laboratory certificates and lists Patsy T Collins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033169545
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANTACHIE RURAL HEALTH CARE, INC
Location Address5681 HIGHWAY 363Mantachie, MS 38855-7632
Mailing Address5681 Highway 363Mantachie, MS 38855-7632 · (662) 282-4226 · Fax (662) 282-7946
Phone(662) 282-4226
Fax(662) 282-7946
Organization SubpartNo
Authorized OfficialPatsy T CollinsCeo · (662) 282-4226
Enumeration DateMay 12, 2006
Last NPPES UpdateFebruary 10, 2014
✔ NPI 1033169545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5681 HIGHWAY 363, Mantachie, MS 38855
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Other Names 1

Doing Business AsMantachie Clinic

Other Identifiers 2

Medicare OSCAR/certification251852MS
Medicaid09014269MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0317142

Mantachie Rural Health Care Inc · Mantachie, MS
Active · expires Apr 27, 2028
CLIA Number25D0317142
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorDr. James M. Orender
Laboratory Phone(662) 282-4226
Laboratory LocationMantachie Rural Health Care Inc5681 Hwy 363, Mantachie, MS 38855
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 25D2257847

Mantachie Rural Health Care, Inc Behavioral Health Clinic · Mantachie, MS
Active · expires Apr 11, 2028
CLIA Number25D2257847
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorDr. James M. Orender
Laboratory Phone(662) 282-4359
Laboratory LocationMantachie Rural Health Care, Inc Behavioral Health Clinic5510 Highway 363, Mantachie, MS 38855
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2171220

Mantachie Rural Health Care, Inc School Base Clinic · Mantachie, MS
Active · expires Aug 26, 2027
CLIA Number25D2171220
Laboratory TypeSchool Base Clinic
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorDr. James M. Orender
Laboratory Phone(662) 282-4276
Laboratory LocationMantachie Rural Health Care, Inc School Base Clinic311 Mustang Drive, Mantachie, MS 38855
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN HARBOR BLACK FNP-BC
Nurse Practitioner (Family)
5681 HIGHWAY 363
MANTACHIE, MS 38855
Itawamba County (662) 282-4226
CYNTHIA SMITH FNP
Nurse Practitioner (Family)
5681 HIGHWAY 363
MANTACHIE, MS 38855
Itawamba County (662) 282-4226
AMY LYNN FLOYD FNP-C
Nurse Practitioner (Family)
5681 HIGHWAY 363
MANTACHIE, MS 38855
Itawamba County (662) 282-4226
MANTACHIE RURAL HEALTH CARE, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5681 HIGHWAY 363
MANTACHIE, MS 38855
Itawamba County (662) 282-4226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mantachie Rural Health Care, Inc's NPI number?

The NPI number for Mantachie Rural Health Care, Inc is 1033169545. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Mantachie Clinic.

Where is Mantachie Rural Health Care, Inc located?

Mantachie Rural Health Care, Inc is located at 5681 Highway 363, Mantachie, MS 38855. The listed phone number is (662) 282-4226.

What is Mantachie Rural Health Care, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mantachie Rural Health Care, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mantachie Rural Health Care, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Mantachie Rural Health Care, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mantachie Rural Health Care, Inc was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.