| Mallory Community Health | |
| 
					17280 Highway 17 South Lexington MS 39095  | |
| (662) 834-1857 | |
| (662) 834-4937 | 
| Full Name | Mallory Community Health | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 17280 Highway 17 South, Lexington, Mississippi | 
| Authorized Official Name and Position | Clyde Rozell Chapman (INTERIM CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 6628341857 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mallory Community Health Po Box 479 Lexington MS 39095-0479 Ph: (662) 834-1857  | Mallory Community Health 17280 Highway 17 South Lexington MS 39095 Ph: (662) 834-1857  | 
| NPI Number | 1740308873 | 
|---|---|
| Provider Enumeration Date | 03/27/2007 | 
| Last Update Date | 06/05/2025 | 
| Medicare PECOS PAC ID | 9739074501 | 
|---|---|
| Medicare Enrollment ID | O20101123000529 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740308873 | NPI | - | NPPES | 
| 09013975 | Medicaid | MS | 
| 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 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12572 Highway 12, Lexington, MS 39095 Phone: 662-235-5226  | |
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  |