Organization · Type 2 NPI

Mallory Community Health

Federally Qualified Health Center (FQHC) · Lexington, MS

NPI number 1508312992 Active

Practice location

17280 Highway 17
Lexington, MS 39095-6614

Fax (662) 834-1859

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 1508312992

Mallory Community Health's National Provider Identifier is 1508312992, issued on Aug 26, 2016. 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 Dec 30, 2020.