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Mallory Community Health
Federally Qualified Health Center (FQHC) in Vaiden, Mississippi
NPI 1053439133

Mallory Community Health is a Federally Qualified Health Center (FQHC) based in Vaiden, MS and is specialized in Federally Qualified Health Center (FQHC). Mallory Community Health practices in Vaiden, MS. The NPI Number for Mallory Community Health is 1053439133 and holds a License No. (Mississippi).

The current practice location address for Mallory Community Health is 201A Magnolia St, Vaiden, MS and can be reached out via phone at 662-464-5470 and via fax at 662-464-0152.

Location: 201A Magnolia St, Vaiden, MS, 39176-0369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053439133
Provider Name
Mallory Community Health
Credential
Provider Entity Type
Organization
Address
201A Magnolia St, Vaiden, MS, 39176-0369
Phone Number
662-464-5470
Fax Number
662-464-0152
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201A Magnolia St
City
Vaiden
State
Mississippi
Zip
39176-5644
Phone Number
662-464-5470
Fax Number
662-464-0152
person
Provider Business Mailing Address Details
Address
201A Magnolia St
City
Vaiden
State
Mississippi
Zip
39176-5644
Phone Number
662-464-5470
Fax Number
662-464-0152
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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