Mallory Community Health in Vaiden - Federally Qualified Health Center (fqhc)
Mallory Community Health - NPI 1053439133
Mallory Community Health is a Federally Qualified Health Center (fqhc) in Vaiden, Mississippi. Mallory Community Health practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mallory Community Health is 1053439133. The last update date is 2014-03-24.
Mallory Community Health's current location address is Po Box 369, Vaiden, Mississippi. You can contact this provider via phone number 6624645470 and fax number 6624640152. The mailing address for Mallory Community Health is Po Box 369, Vaiden, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mallory Community Health |
|---|---|
| Address | Po Box 369, Vaiden, Mississippi |
| Phone Number | 6624645470 |
| Fax Number | 6624640152 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM CE |
|---|---|
| Authorized Official Name | Montgomery Dewery |
| Telephone Number | 6628341857 |
NPI Number Detail
| NPI Number | 1053439133 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2014-03-24 |
Provider Mailing Address Detail
| Address | Po Box 369 |
|---|---|
| City | Vaiden |
| State | Mississippi (MS) |
| Post Code | 391760369 |
| Phone Number | 6624645470 |
| Fax Number | 6624640152 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique identification code assigned to Mallory Community Health by the Centers for Medicare & Medicaid Services?
The Mallory Community Health has been issued the NPI (National Provider Identifier) 1053439133. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mallory Community Health?
The Mallory Community Health is situated at Po Box 369, in the city of Vaiden, state of MS, with the zip code 391760369.
What is Mallory Community Health's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mallory Community Health's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053439133 to Mallory Community Health?
The Centers for Medicare & Medicaid Services originally issued the 1053439133 to Mallory Community Health on 2007-03-27.
When was the Mallory Community Health's information last updated?
The Mallory Community Health's information was last updated on 2014-03-24.
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