MALLORY COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Lexington, MS. MALLORY COMMUNITY HEALTH NPI is 1508312992. The provider is registered as an organization entity type.
The provider Other Name Is Mallory Mobile Rv Clinic.
The provider's business location address is:
17280 HIGHWAY 17
LEXINGTON, MS
ZIP 39095-614
Phone: (662) 834-1857
Fax: (662) 834-1859
The provider's authorized official is Clyde Rozell Chapman .
The authorized official title is Chief Exexcutive Officer and has the following contact phone number (662) 834-1857.
The CLIA number assigned to this NPI record is 25D2118341 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/26/2016 and was last updated on 12/30/2020.