| NPI | 1053649749 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-11-18 |
| Last Updated | 2024-08-29 |
| Authorized Official | Clyde Chapman Chief Executive Officer Phone: 6628341857 |
| Mailing Address | Po Box 479 Lexington, MS 39095-0479 United States Phone: (662) 834-1857 | Fax: (662) 834-4937 📍 View Map |
| Primary Practice Address | 201 East Washington Street Greenwood, MS 38930 United States Phone: (662) 453-4522 | Fax: (662) 453-4518 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MS | 03357572 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | — | — |
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About NPI 1053649749
Mallory Community Health is an organization registered in the CMS NPPES NPI Registry with NPI number 1053649749. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Greenwood, MS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-11-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053649749?
NPI 1053649749 belongs to Mallory Community Health, a Clinic/Center, Federally Qualified Health Center (FQHC) in Greenwood, MS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053649749 active?
The current status of NPI 1053649749 in the NPPES registry is Active. The record was last updated on 2024-08-29.
What specialty is NPI 1053649749?
NPI 1053649749 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053649749?
You can verify NPI 1053649749 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053649749?
The primary practice address on file for NPI 1053649749 is 201 East Washington Street, Greenwood, MS 38930. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053649749 issued?
NPI 1053649749 was first issued (enumerated) on 2009-11-18. The NPPES record was last updated on 2024-08-29.
Practice Location Map
Mallory Community Health is located at 201 East Washington Street, Greenwood, MS. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mallory Community Health. All records sourced from the CMS NPPES registry.