| Mallory Community Health | |
|
12572 Highway 12 Lexington MS 39095-8036 | |
| (662) 235-5226 | |
| Not Available |
| Full Name | Mallory Community Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12572 Highway 12, Lexington, Mississippi |
| Authorized Official Name and Position | Clyde Rozell Chapman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6628342566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Community Health Po Box 479 Lexington MS 39095-0479 Ph: (662) 834-1857 | Mallory Community Health 12572 Highway 12 Lexington MS 39095-8036 Ph: (662) 235-5226 |
| NPI Number | 1427504943 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 08/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427504943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Patients Choice Medical Center Of Humphreys County, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22741 Highway 12, Lexington, MS 39095 Phone: 662-834-1961 Fax: 662-834-1962 | |
Mallory Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9479 Brozville Rd, Lexington, MS 39095 Phone: 662-834-0532 | |
Mallory Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 Fax: 662-834-1859 | |
Mallory Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9749 Brozville Road, Lexington, MS 39095 Phone: 662-834-2172 | |
Mallory Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 Fax: 662-834-0531 | |
Mallory Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 Fax: 662-834-1859 |