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DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
NPI 1013034636
Clinic/Center - Federally Qualified Health Center (FQHC) in Canton, MS

Active since March 26, 2007CLIA Certified · 3 labs
276 NISSAN PARKWAY, BUILDING C, SUITE 100, CANTON, MS 39046(601) 855-5275(601) 859-3253 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Arenia C. Mallory Community Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. (NPI 1013034636) is a healthcare organization registered as a federally qualified health center (fqhc) in Canton, Mississippi and active in the NPI registry since March 2007. The organization holds 3 active CLIA laboratory certificates and lists Clyde Rozell Chapman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1013034636
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMALLORY COMMUNITY HEALTH
Location Address276 NISSAN PARKWAY, BUILDING C, SUITE 100Canton, MS 39046
Mailing AddressPo Box 479Lexington, MS 39095-0479 · (662) 834-1857 · Fax (662) 834-4937
Phone(601) 855-5275
Fax(601) 859-3253
Organization SubpartNo
Authorized OfficialClyde Rozell ChapmanChief Executive Officer · (662) 834-1857
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1013034636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
276 NISSAN PARKWAY, BUILDING C, Canton, MS 39046
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Other Names 1

Doing Business AsDr. Arenia C. Mallory Community Health Center, Inc.

Other Identifiers 1

Medicaid09015635MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2118339

Mallory Community Health Center-Goodman Picke · Goodman, MS
Active · expires Sep 5, 2026
CLIA Number25D2118339
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorRozell Chapman
Laboratory Phone(662) 834-1857
Laboratory LocationMallory Community Health Center-Goodman Picke3877 Hwy 51, Goodman, MS 39079
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2118343

Mallory Community Health Center-William Sullivan · Durant, MS
Active · expires Sep 5, 2026
CLIA Number25D2118343
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorRozell Chapman
Laboratory Phone(662) 834-1857
Laboratory LocationMallory Community Health Center-William Sullivan14494 Hwy 51, Durant, MS 39063
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2118345

Mallory Community Health Center-Sv Marshall · Lexington, MS
Active · expires Sep 5, 2026
CLIA Number25D2118345
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorRozell Chapman
Laboratory Phone(662) 834-1857
Laboratory LocationMallory Community Health Center-Sv Marshall12572 Hwy 12, Lexington, MS 39095
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Community Health's NPI number?

The NPI number for Mallory Community Health is 1013034636. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as Dr. Arenia C. Mallory Community Health Center, Inc..

Where is Mallory Community Health located?

Mallory Community Health is located at 276 Nissan Parkway, Building C Suite 100, Canton, MS 39046. The listed phone number is (601) 855-5275.

What is Mallory Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Mallory Community Health hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mallory Community Health accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Mallory Community Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Community Health was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.