Organization · Type 2 NPI

Mallory Community Health

Federally Qualified Health Center (FQHC) · Canton, MS

NPI number 1013034636 Active

Practice location

276 Nissan Parkway, Building C, Suite 100
Canton, MS 39046

Call (601) 855-5275 Map

Fax (601) 859-3253

Mailing address

PO Box 479
Lexington, MS 39095-0479

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1013034636

Mallory Community Health's National Provider Identifier is 1013034636, issued on Mar 26, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Canton, MS. The record was last updated on Aug 29, 2024.