Organization · Type 2 NPI

Mallory Community Health

Federally Qualified Health Center (FQHC) · Durant, MS

NPI number 1477009876 Active

Practice location

14494 Highway 51
Durant, MS 39063-9627

Call (662) 653-6262 Map

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...

Other federally qualified health center (fqhc) providers in Durant

Mallory Community HealthFederally Qualified Health Center (FQHC) Durant, MS NPI 1902923527

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NPI record

NPI: 1477009876
Entity type: Organization (Type 2)
Issued: Aug 27, 2016
Last updated: Aug 27, 2016
Status: Active

Other names

<unavail>
Dr. Arenia C. Mallory Community Health Center, Inc. · other name

Authorized official

Mr. Clyde Rozell Chapman, MD
Chief Executive Officer
(662) 834-2566

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 1477009876

Mallory Community Health's National Provider Identifier is 1477009876, issued on Aug 27, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Durant, MS. The record was last updated on Aug 27, 2016.