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

Active since April 17, 2025
905 BETHEL CHURCH RD, FULTON, MS 38843(662) 282-4226(662) 282-7946 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mantachie Rural Health Care, Inc NPPES

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

MANTACHIE RURAL HEALTH CARE, INC (NPI 1508652330), doing business as Dorsey Family Medical Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Fulton, Mississippi and active in the NPI registry since April 2025. The organization lists Karen Crabb Burns, Coo, as its authorized official.

NPPES Registry Identity

NPI1508652330
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMANTACHIE RURAL HEALTH CARE, INC
Location Address905 BETHEL CHURCH RDFulton, MS 38843-8894
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 OfficialKaren Crabb BurnsCoo · (662) 282-4226
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1508652330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
905 BETHEL CHURCH RD, Fulton, MS 38843
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Other Names 1

Doing Business AsDorsey Family Medical Center

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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mantachie Rural Health Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mantachie Rural Health Care, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Cynthia Smith, FNP
Nurse Practitioner
NPI 1679114821
5681 HIGHWAY 363
Mantachie, MS 38855
(662) 282-4226
✔ PECOS✔ Accepts Medicare4.7 mi
Madison Carrell, FNP-C
Nurse Practitioner
NPI 1154108470
5681 MS-363
Mantachie, MS 38855
(662) 282-4226
✔ PECOS✔ Accepts Medicare4.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1508652330. It was assigned to this organization in the NPPES registry on April 17, 2025. The provider is doing business as Dorsey Family Medical Center.

Where is Mantachie Rural Health Care, Inc located?

Mantachie Rural Health Care, Inc is located at 905 Bethel Church Rd, Fulton, MS 38843. 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 Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mantachie Rural Health Care, Inc enrolled in Medicare?

Yes. Mantachie Rural Health Care, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mantachie Rural Health Care, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mantachie Rural Health Care, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mantachie Rural Health Care, Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee 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 April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.