Mallory Community Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MALLORY COMMUNITY HEALTH

Practice address

9479 Brozville Rd
Lexington, MS 39095-7090

Phone

(662) 834-0532

NPI assigned

Jul 17, 2017

Organization subpart

Yes

Parent organization

MALLORY COMMUNITY HEALTHAs reported in NPPES

Name

Dr. Clyde Rozell Chapman, MD

Title

Ceo

Phone

(662) 834-0532

Organizations that report the same tax identification number in the National Provider Directory.

• Mallory Community Health

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1205425535
  NPD tax ID
• Mallory Community Health

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1295282358
  NPD tax ID
• Mallory Community Health

  • Federally Qualified Health Center (FQHC)
  • Pickens, MS
  • NPI 1780395632
  NPD tax ID
• Mallory Community Health

  • Dental Clinic/Center
  • Lexington, MS
  • NPI 1982291415
  NPD tax ID
• Mallory Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1437490109
  NPD tax ID

Tax ID family

Mallory Community Healt (6 organizations share this tax ID)

Part of

Mallory Community Healt

Locations

• Dr. Arenia C. Mallory Community Health Center, Inc. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1104348606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390950479",
            "telephone_number": "662-834-0532",
            "fax_number": "662-834-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 BROZVILLE RD",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390957090",
            "telephone_number": "662-834-0532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12572 Highway 12",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MS",
            "postal_code": "390958036",
            "country_code": "US",
            "telephone_number": "662-834-0532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Rockport Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MS",
            "postal_code": "390955166",
            "country_code": "US",
            "telephone_number": "662-834-0532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3877 Hwy 51 South",
            "address_purpose": "LOCATION",
            "city": "Pickens",
            "state": "MS",
            "postal_code": "39146",
            "country_code": "US",
            "telephone_number": "662-834-0532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Hwy 51 South",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "MS",
            "postal_code": "39063",
            "country_code": "US",
            "telephone_number": "662-834-0532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MALLORY COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MALLORY COMMUNITY HEALTH",
        "enumeration_date": "2017-07-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "ROZELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-834-0532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Arenia C. Mallory Community Health Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Arenia C. Mallory Community Health Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lexington Primary Care
• Lexington Rural Heath Clinic
• Shelby Lipe, NP
• Leslee S Loden, OTR/L
• Magnolia Medical Supplies, LLC
• Mallory Community Health
• Mallory Community Health
• Mallory Community Health
• Mallory Community Health
• Mallory Community Health

• All providers in Lexington, MS
• Federally Qualified Health Center (FQHC) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.