Mallory Community Health
NPI #1780395632 in Pickens, Mississippi
Provider Information
- NPI Number
- 1780395632
- Entity Type
- Organization
- Organization Name
- Mallory Community Health
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MALLORY COMMUNITY HEALTH
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 12, 2022
- Last Updated
- Aug 24, 2023
Practice Location
- Address
- 175 LEXINGTON STREET
- City
- Pickens
- State
- Mississippi
- ZIP Code
- 39146
- Phone
- (662) 834-0752
Authorized Official
- Name
- MRS. LATRICE HUDSON
- Title
- REVENUE CREDENTIALING SPECIALIST
- Phone
- (662) 834-0752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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