MALLORY COMMUNITY HEALTH NPI 1477009876

NPI Information

  • NPI: 1477009876
  • Provider Name: MALLORY COMMUNITY HEALTH
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
  • Address: 14494 HIGHWAY 51
    DURANT, MS
    ZIP 39063
  • Phone: (662) 653-6262

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NPI Details

MALLORY COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Durant, MS. MALLORY COMMUNITY HEALTH NPI is 1477009876. The provider is registered as an organization entity type.
The provider Other Name Is Dr. Arenia C. Mallory Community Health Center, Inc..

The provider's business location address is:

14494 HIGHWAY 51
DURANT, MS
ZIP 39063-627
Phone: (662) 653-6262

The provider's authorized official is Clyde Rozell Chapman .
The authorized official title is Chief Executive Officer and has the following contact phone number (662) 834-2566.

The enumeration date for this NPI number is 8/27/2016 and was last updated on 8/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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