| Dr. Arenia C. Mallory Community Health Center, Inc. | |
|
175 Lexington Street Pickens MS 39146 | |
| (662) 834-0752 | |
| Not Available |
| Full Name | Dr. Arenia C. Mallory Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 175 Lexington Street, Pickens, Mississippi |
| Authorized Official Name and Position | Latrice Hudson (REVENUE CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6628340752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Arenia C. Mallory Community Health Center, Inc. 17280 Highway 17 South Lexington MS 39095 Ph: (662) 834-0532 | Dr. Arenia C. Mallory Community Health Center, Inc. 175 Lexington Street Pickens MS 39146 Ph: (662) 834-0752 |
| NPI Number | 1780395632 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780395632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Grace & Mercy Healthcare Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Lexington St, Pickens, MS 39146 Phone: 601-691-0100 | |
New Horizon Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Lexington St., Pickens, MS 39146 Phone: 662-468-9145 |