DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. – NPI #1053649749
Clinic/Center

DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. is an AHC clinic located in GREENWOOD, MS. NPPES has assigned the NPI number 1053649749 to DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. on November 18, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.” is a dba name, the actual legal business name for this organization is MALLORY COMMUNITY HEALTH. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Aug 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. below.

NPI Profile for
MALLORY COMMUNITY HEALTH

NPI Number
1053649749
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MALLORY COMMUNITY HEALTH
Doing Business As (dba): DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Primary location
201 EAST WASHINGTON STREET
GREENWOOD, MS 38930
Phone: (662) 453-4522 Fax: (662) 453-4518
Mailing address
PO BOX 479
LEXINGTON, MS 39095-0479
Phone: (662) 834-1857 Fax: (662) 834-4937
Organization Subpart
No
Authorized Official
CLYDE CHAPMAN
CHIEF EXECUTIVE OFFICER
Phone: (662) 834-1857
Updated
Certification Date
Aug 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS03357572
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.