Organization
MALLORY COMMUNITY HEALTH CENTER
Active
Other names
MCHC-Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STELLANDA M DAVIS (CEO)
(662) 834-2566
Entity
Organization
Contact information
Practice address
17280 HIGHWAY 17, LEXINGTON, MS 39095-6614
(662) 834-1857
(662) 834-0531
Mailing address
17280 HIGHWAY 17, P O BOX 479, LEXINGTON, MS 39095-6614
(662) 834-1857
(662) 834-0531
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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