Organization · Type 2 NPI

Mallory Community Health

Federally Qualified Health Center (FQHC) · Greenwood, MS

NPI number 1053649749 Active

Practice location

201 East Washington Street
Greenwood, MS 38930

Call (662) 453-4522 Map

Fax (662) 453-4518

Mailing address

PO Box 479
Lexington, MS 39095-0479

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

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NPI record

NPI: 1053649749
Entity type: Organization (Type 2)
Issued: Nov 18, 2009
Last updated: Aug 29, 2024
Status: Active

Other names

<unavail>
Dr. Arenia C. Mallory Community Health Center, Inc. · doing business as

Authorized official

Mr. Clyde Rozell Chapman, MD
Chief Executive Officer
(662) 834-1857

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053649749

Mallory Community Health's National Provider Identifier is 1053649749, issued on Nov 18, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Greenwood, MS. The record was last updated on Aug 29, 2024.