NPIMap

Mallory Community Health

A Medicare group practice based in Lexington, MS: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 9739074501), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9739074501The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
7
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
7In 5 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040219000709 MS Part B Supplier - Clinic/Group Practice 1740308873
O20101123000529 MS Part A Provider - Federally Qualified Health Center (FQHC) 1740308873
O20101123000505 MS Part A Provider - Federally Qualified Health Center (FQHC) 1902923527
O20101123000478 MS Part A Provider - Federally Qualified Health Center (FQHC) 1013034636
O20101123000418 MS Part A Provider - Federally Qualified Health Center (FQHC) 1881713519
O20130826000934 MS Part A Provider - Federally Qualified Health Center (FQHC) 1740624881
O20140915001755 MS Part A Provider - Federally Qualified Health Center (FQHC) 1053649749

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 14

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (11).

Sources for this page