Organization
MALLORY COMMUNITY HEALTH
Active
Other names
Dr. Arenia C. Mallory Community Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLYDE ROZELL CHAPMAN MD (CHIEF EXECUTIVE OFFICER)
(662) 834-2566
Entity
Organization
Contact information
Practice address
3877 HIGHWAY 51, GOODMAN, MS 39079-9588
(662) 468-2116
Mailing address
PO BOX 479, LEXINGTON, MS 39095-0479
(662) 834-1857
(662) 834-1859
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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