MALLORY COMMUNITY HEALTH


Address: 9479 Brozville Rd, Lexington, MS 39095-7090
Phone: 6628340532

MALLORY COMMUNITY HEALTH (NPI# 1104348606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104348606
Entity Type Organization
Organization Name MALLORY COMMUNITY HEALTH
Other Organization Name DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Practice Address 9479 Brozville Rd
Lexington
MS 39095-7090
Mailing Address Po Box 479
Lexington
MS 39095-0479
Practice Telephone 6628340532
Mailing Telephone 6628340532
Mailing Fax Number 6628340531
Enumeration Date 2017-07-17
Last Update Date 2018-03-17
Authorized Official Name DR. CLYDE ROZELL CHAPMAN (CEO)
Authorized Official Telephone 6628340532
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name MALLORY COMMUNITY HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Dr. Arenia C. Mallory Community Health Center, Inc. Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
12572 Highway 12, Lexington, MS 390958036 6628340532
3877 Hwy 51 South, Pickens, MS 39146 6628340532
96 Rockport Rd, Lexington, MS 390955166 6628340532
Hwy 51 South, Durant, MS 39063 6628340532

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295282358 Mallory Community Health Clinic/Center 9749 Brozville Road, Lexington, MS 39095 2016-09-07
1477009876 Mallory Community Health Clinic/Center 14494 Highway 51, Durant, MS 39063-9627 2016-08-27
1427504943 Mallory Community Health Clinic/Center 12572 Highway 12, Lexington, MS 39095-8036 2016-08-26
1104279355 Mallory Community Health Clinic/Center 3877 Highway 51, Goodman, MS 39079-9588 2016-07-22
1740624881 Mallory Community Health Clinic/Center 300 Yazoo Street, Lexington, MS 39095 2013-04-19
1053649749 Mallory Community Health Clinic/Center 201 East Washington Street, Greenwood, MS 38930 2009-11-18
1053439133 Mallory Community Health Clinic/Center 201a Magnolia St, Vaiden, MS 39176-5644 2007-03-27
1881713519 Mallory Community Health Clinic/Center 9715 Highway 12 W, Tchula, MS 39169 2007-03-27
1902923527 Mallory Community Health Clinic/Center 33795 Highway 12 East, Durant, MS 39063 2007-03-26
1013034636 Mallory Community Health Clinic/Center 276 Nissan Parkway, Building C, Suite 100, Canton, MS 39046 2007-03-26

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MALLORY COMMUNITY HEALTH CENTER 17280 Highway 17 South, Lexington, MS 39095-6614

Office Location

Street Address 9479 BROZVILLE RD
City LEXINGTON
State MS
Zip Code 39095-7090

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295282358 Mallory Community Health Clinic/Center 9749 Brozville Road, Lexington, MS 39095 2016-09-07
1336596170 Telehealthone, LLC Nurse Practitioner 301 Yazoo Street, Lexington, MS 39095 2016-05-23
1740624881 Mallory Community Health Clinic/Center 300 Yazoo Street, Lexington, MS 39095 2013-04-19
1912245671 Ciera N Draine Social Worker Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 2013-01-30
1184933384 John D. Whitehead Durable Medical Equipment & Medical Supplies 22743 Hwy 12, Lexington, MS 39095 2010-10-05
1942536552 Durant Primary Care Clinic Clinic/Center 22741 Bowling Green Rd, Lexington, MS 39095 2009-11-02
1205082963 Heather Killebrew Tutor, Dmd, Pa Dentist 302 Court Square, Lexington, MS 39095 2008-08-13
1023145430 Charles D Howard Dentist 102 Wall St, Lexington, MS 39095 2007-02-27
1619069622 Charles Walton Campbell Family Medicine 102 Carrollton St, Lexington, MS 39095 2006-09-28
1972617876 Lexington Primary Care Clinic/Center 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 2006-08-18
Find all providers in zip 39095

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295356731 Health Care Coalition of Lafayette County Clinic/Center 811 S Business Highway 13, Lexington, MO 64067-1515 2020-05-06
1295282358 Mallory Community Health Clinic/Center 9749 Brozville Road, Lexington, MS 39095 2016-09-07
1427504943 Mallory Community Health Clinic/Center 12572 Highway 12, Lexington, MS 39095-8036 2016-08-26
1982002549 Samuel U. Rodgers Health Center, Inc Clinic/Center 2309 Aull Ln, Lexington, MO 64067 2014-12-15
1740624881 Mallory Community Health Clinic/Center 300 Yazoo Street, Lexington, MS 39095 2013-04-19
1831386192 Eastern Kentucky University Clinic/Center 151 N Eagle Creek, Suite 220, Lexington, KY 40509-1892 2007-10-01
1164614053 Samuel U. Rodgers Health Center, Inc. Clinic/Center 811 S Business Highway 13 Ste A, Lexington, MO 64067 2007-08-14
1164460051 Eastern Kentucky University Clinic/Center 1306 Versailles Rd, Suite 120, Lexington, KY 40504-1117 2006-06-03
1053951756 Gaston Family Health Services, Inc Clinic/Center 32 Kirkwood Ave, Lexington, NC 27292-4024 2020-01-10
1992343206 Healthfirst Bluegrass Inc. Clinic/Center 350 N Limestone, Lexington, KY 40508-1871 2019-12-17
Find all providers in LEXINGTON

Competitor

Search similar providers

City LEXINGTON
Zip Code 39095

Improve Information

Please comment or provide details below to improve the information on MALLORY COMMUNITY HEALTH.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches