MALLORY COMMUNITY HEALTH – NPI #1881713519
Clinic/Center
MALLORY COMMUNITY HEALTH is an AHC clinic located in TCHULA, MS. NPPES has assigned the NPI number 1881713519 to MALLORY COMMUNITY HEALTH on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 Jun 05, 2025. 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 MALLORY COMMUNITY HEALTH below.
NPI Profile for
MALLORY COMMUNITY HEALTH
(more than 19 years ago)
TCHULA, MS 39169 Phone: (662) 235-4731 Fax: (662) 235-5255
LEXINGTON, MS 39095-0479 Phone: (662) 834-1857 Fax: (662) 834-4937
CHIEF EXECUTIVE OFFICER
Phone: (662) 834-1857
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 for MALLORY COMMUNITY HEALTH
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | MS | 09015634 |
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.