Mallory Community Health
Clinic/Center, Federally Qualified Health Center (FQHC) in Lexington, MS. Organization (NPI-2).
NPI number1508312992
StatusActive
Last updated in NPPESDec 30, 2020
Details
- NPI
- 1508312992
- Entity type
- Organization (NPI-2)
- Legal business name
- Mallory Community Health
- Organization subpart
- No
- Enumeration date
- Aug 26, 2016
- Certification date
- Oct 12, 2020
- Last updated
- Dec 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Mallory Mobile Rv Clinic (Other Name)
Practice location
17280 Highway 17Lexington, MS 39095-6614
Phone 662-834-1857 · Fax 662-834-1859
Mailing address
Po Box 479Lexington, MS 39095-0479
Phone 662-834-1857 · Fax 662-834-1859
Authorized official
Clyde Rozell Chapman
Chief Exexcutive Officer
6628341857
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All 8 Federally Qualified Health Center (FQHC) providers in Lexington · All 112 providers in Lexington
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