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DR ARENIA C MALLORY COMMUNITY HEALTH CENTER, INC
NPI 1053439133
Clinic/Center - Federally Qualified Health Center (FQHC) in Vaiden, MS

Active since March 27, 2007
201A MAGNOLIA ST, VAIDEN, MS 39176(662) 464-5470(662) 464-0152 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: August 30, 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 1053439133) is a healthcare organization registered as a federally qualified health center (fqhc) in Vaiden, Mississippi and active in the NPI registry since March 2007. The organization lists Dewery Montgomery, Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1053439133
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMALLORY COMMUNITY HEALTH
Location Address201A MAGNOLIA STVaiden, MS 39176-5644
Mailing AddressPo Box 369Vaiden, MS 39176-0369 · (662) 464-5470 · Fax (662) 464-0152
Phone(662) 464-5470
Fax(662) 464-0152
Organization SubpartNo
Authorized OfficialDewery MontgomeryInterim Ceo · (662) 834-1857
Enumeration DateMarch 27, 2007
Last NPPES UpdateMarch 24, 2014
✔ NPI 1053439133 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
201A MAGNOLIA ST, Vaiden, MS 39176
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Other Names 1

Doing Business AsDr Arenia C Mallory Community Health Center, Inc

Other Identifiers 1

Medicare OSCAR/certification251880MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Clinic/Center (Rural Health)
201A MAGNOLIA ST
VAIDEN, MS 39176
Carroll County (601) 496-5400

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 1053439133. It was assigned to this organization in the NPPES registry on March 27, 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 201A Magnolia St, Vaiden, MS 39176. The listed phone number is (662) 464-5470.

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.

When was this NPI record last updated?

The NPPES record for Mallory Community Health was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.