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Mallory Community Health
Federally Qualified Health Center (FQHC) in Lexington, Mississippi
NPI 1740308873

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 Lexington, MS. The NPI Number for Mallory Community Health is 1740308873 and holds a License No. (Mississippi).

The current practice location address for Mallory Community Health is 17280 Highway 17 South, Lexington, MS and can be reached out via phone at 662-834-1857 and via fax at 662-834-4937.

Location: 17280 Highway 17 South, Lexington, MS, 39095-0479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740308873
Provider Name
Mallory Community Health
Credential
Provider Entity Type
Organization
Address
17280 Highway 17 South, Lexington, MS, 39095-0479
Phone Number
662-834-1857
Fax Number
662-834-4937
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09013975 05 MS
institution
Provider Business Practice Location Address Details
Address
17280 Highway 17 South
City
Lexington
State
Mississippi
Zip
39095
Phone Number
662-834-1857
Fax Number
662-834-4937
person
Provider Business Mailing Address Details
Address
17280 Highway 17 South
City
Lexington
State
Mississippi
Zip
39095
Phone Number
662-834-1857
Fax Number
662-834-4937
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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