| Dr. Arenia C. Mallory Community Health Center, Inc. | |
|
300 Yazoo Street Lexington MS 39095 | |
| (662) 834-5000 | |
| (662) 834-5003 |
| Full Name | Dr. Arenia C. Mallory Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Yazoo Street, Lexington, Mississippi |
| Authorized Official Name and Position | Clyde Rozell Chapman (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 |
|---|---|
| Dr. Arenia C. Mallory Community Health Center, Inc. Post Office Box 479 Lexington MS 39095-0479 Ph: (662) 834-1857 | Dr. Arenia C. Mallory Community Health Center, Inc. 300 Yazoo Street Lexington MS 39095 Ph: (662) 834-5000 |
| NPI Number | 1740624881 |
|---|---|
| Provider Enumeration Date | 04/19/2013 |
| Last Update Date | 07/21/2016 |
| Medicare PECOS PAC ID | 9739074501 |
|---|---|
| Medicare Enrollment ID | O20130826000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740624881 | NPI | - | NPPES |
| 00474061 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Patients Choice Clinic Of Lexington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22741 Highway 12, Lexington, MS 39095 Phone: 662-834-1961 Fax: 662-834-1962 | |
Dr. Arenia C. Mallory Community Health Center, Inc. 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 | |
Dr. Arenia C. Mallory Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9749 Brozville Road, Lexington, MS 39095 Phone: 662-834-2172 | |
Dr. Arenia C. Mallory Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12572 Highway 12, Lexington, MS 39095 Phone: 662-235-5226 | |
Mchc-hospital 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 Mobile Rv Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 Fax: 662-834-1859 |