Organization
MALLORY COMMUNITY HEALTH
Active
Parent organization
MALLORY COMMUNITY HEALTH
Other names
Dr. Arenia C. Mallory Community Health Center, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MALLORY COMMUNITY HEALTH
Authorized official
DR. CLYDE ROZELL CHAPMAN MD (CEO)
(662) 834-0532
Entity
Organization
Contact information
Practice address
9479 BROZVILLE RD, LEXINGTON, MS 39095-7090
(662) 834-0532
Mailing address
PO BOX 479, LEXINGTON, MS 39095-0479
(662) 834-0532
(662) 834-0531
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
03/17/2018
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