Mallory Mobile Rv Clinic

LBN: Mallory Community Health
Mallory Mobile Rv Clinic is an health care organization with primary practice located at 17280 Highway 17 , Lexington MS 39095-6614. 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) 834-1857, or through Chapman, Clyde Rozell via phone (662) 834-1857.

Contact Information

Primary practice address
17280 Highway 17 Lexington MS 39095-6614
Phone: (662) 834-1857
Fax: (662) 834-1859
Website:
Map and Directions
Authorized official contact:
Name: Chapman, Clyde Rozell Doctor of Medicine (MD)
Phone: (662) 834-1857

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1508312992
LBN Legal business name Mallory Community Health
DBA Doing business as Mallory Mobile Rv Clinic
Authorized official Chapman, Clyde Rozell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2016
Last updated Dec 30th, 2020 - about 6 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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