Dr. Arenia C. Mallory Community Health Center, Inc.
LBN: Mallory Community Health
Dr. Arenia C. Mallory Community Health Center, Inc. is an health care organization with primary practice located at 3877 Highway 51 , Goodman MS 39079-9588. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Mallory Community Health can be contacted via phone (662) 468-2116, or through Chapman, Clyde Rozell via phone (662) 834-2566.
Contact Information
Primary practice address
3877 Highway 51
Goodman MS 39079-9588
Phone: (662) 468-2116
Fax:
Website:
Authorized official contact:
Name: Chapman, Clyde Rozell Doctor of Medicine (MD)
Phone: (662) 834-2566
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1104279355 |
|---|---|
| LBN Legal business name | Mallory Community Health |
| DBA Doing business as | Dr. Arenia C. Mallory Community Health Center, Inc. |
| Authorized official | Chapman, Clyde Rozell Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2016 |
| Last updated | Jul 22nd, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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