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
MRS. LATRICE HUDSON (REVENUE CREDENTIALING SPECIALIST)
(662) 834-0752
Entity
Organization
Contact information
Practice address
175 LEXINGTON STREET, PICKENS, MS 39146
(662) 834-0752
Mailing address
17280 HIGHWAY 17 SOUTH, LEXINGTON, MS 39095
(662) 834-0532
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
08/24/2023
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