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Mallory Community Health
Federally Qualified Health Center (FQHC) in Goodman, Mississippi
NPI 1104279355

Mallory Community Health is a Federally Qualified Health Center (FQHC) based in Lexington, MS and is specialized in Federally Qualified Health Center (FQHC). Mallory Community Health practices in Goodman, MS. The NPI Number for Mallory Community Health is 1104279355 and holds a License No. (Mississippi).

The current practice location address for Mallory Community Health is 3877 Highway 51, Goodman, MS and can be reached out via phone at 662-468-2116.

Location: 3877 Highway 51, Goodman, MS, 39095-0479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104279355
Provider Name
Mallory Community Health
Credential
Provider Entity Type
Organization
Address
3877 Highway 51, Goodman, MS, 39095-0479
Phone Number
662-468-2116
Fax Number
Provider Enumeration Date
07/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3877 Highway 51
City
Goodman
State
Mississippi
Zip
39079-9588
Phone Number
662-468-2116
Fax Number
person
Provider Business Mailing Address Details
Address
3877 Highway 51
City
Goodman
State
Mississippi
Zip
39079-9588
Phone Number
662-468-2116
Fax Number
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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