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Mallory Community Health
Federally Qualified Health Center (FQHC) in Tchula, Mississippi
NPI 1881713519

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 Tchula, MS. The NPI Number for Mallory Community Health is 1881713519 and holds a License No. (Mississippi).

The current practice location address for Mallory Community Health is 9715 Highway 12 W, Tchula, MS and can be reached out via phone at 662-235-4731 and via fax at 662-235-5255.

Location: 9715 Highway 12 W, Tchula, MS, 39095-0479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881713519
Provider Name
Mallory Community Health
Credential
Provider Entity Type
Organization
Address
9715 Highway 12 W, Tchula, MS, 39095-0479
Phone Number
662-235-4731
Fax Number
662-235-5255
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09015634 05 MS
institution
Provider Business Practice Location Address Details
Address
9715 Highway 12 W
City
Tchula
State
Mississippi
Zip
39169
Phone Number
662-235-4731
Fax Number
662-235-5255
person
Provider Business Mailing Address Details
Address
9715 Highway 12 W
City
Tchula
State
Mississippi
Zip
39169
Phone Number
662-235-4731
Fax Number
662-235-5255
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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