Organization · Type 2 NPI

Mallory Community Health

Federally Qualified Health Center (FQHC) · Lexington, MS

NPI number 1104348606 Active

Practice location

9479 Brozville Rd
Lexington, MS 39095-7090

Call (662) 834-0532 Map

Mailing address

PO Box 479
Lexington, MS 39095-0479

Other practice locations

96 Rockport Rd, Lexington, MS 39095-5166 · (662) 834-0532
12572 Highway 12, Lexington, MS 39095-8036 · (662) 834-0532
3877 Hwy 51 South, Pickens, MS 39146 · (662) 834-0532
Hwy 51 South, Durant, MS 39063 · (662) 834-0532

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: 1104348606
Entity type: Organization (Type 2)
Issued: Jul 17, 2017
Last updated: Mar 17, 2018
Status: Active
Subpart: Yes of Mallory Community Health

Other names

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

Authorized official

Dr. Clyde Rozell Chapman, MD
CEO
(662) 834-0532

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 1104348606

Mallory Community Health's National Provider Identifier is 1104348606, issued on Jul 17, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lexington, MS. The record was last updated on Mar 17, 2018.