institution
Mallory Community Health
Federally Qualified Health Center (FQHC) in Durant, Mississippi
NPI 1902923527

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 Durant, MS. The NPI Number for Mallory Community Health is 1902923527 and holds a License No. (Mississippi).

The current practice location address for Mallory Community Health is 33795 Highway 12 East, Durant, MS and can be reached out via phone at 662-653-0505 and via fax at 662-653-0466.

Location: 33795 Highway 12 East, Durant, MS, 39095-0479
institution
Provider Profile Details
NPI Number
1902923527
Provider Name
Mallory Community Health
Credential
Provider Entity Type
Organization
Address
33795 Highway 12 East, Durant, MS, 39095-0479
Phone Number
662-653-0505
Fax Number
662-653-0466
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
09016221 05 MS
institution
Provider Business Practice Location Address Details
Address
33795 Highway 12 East
City
State
Zip
39063
Phone Number
662-653-0505
Fax Number
662-653-0466
person
Provider Business Mailing Address Details
Address
33795 Highway 12 East
City
State
Zip
39063
Phone Number
662-653-0505
Fax Number
662-653-0466
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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