Organization
MALLORY COMMUNITY HEALTH
Active
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) 834-1857
Entity
Organization
Contact information
Practice address
300 YAZOO STREET, LEXINGTON, MS 39095
(662) 834-5000
(662) 834-5003
Mailing address
POST OFFICE BOX 479, LEXINGTON, MS 39095-0479
(662) 834-1857
(662) 834-4937
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474061
—
MS
Enumeration date
04/19/2013
Last updated
06/05/2025
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