Mallory Community Health | |
17280 Highway 17 Lexington MS 39095-6614 | |
(662) 834-1857 | |
(662) 834-1859 |
Full Name | Mallory Community Health |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 17280 Highway 17, Lexington, Mississippi |
Authorized Official Name and Position | Latonya Mabry (BUSINESS MANAGER) |
Authorized Official Contact | 6628340746 |
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 17280 Highway 17 Lexington MS 39095-6614 Ph: (662) 834-1857 |
NPI Number | 1205425535 |
---|---|
Provider Enumeration Date | 01/12/2021 |
Last Update Date | 01/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205425535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |