MALLORY COMMUNITY HEALTH
NPI 1205425535
Clinic/Center - Federally Qualified Health Center (FQHC) in Lexington, MS

Active since January 12, 2021
17280 HIGHWAY 17, LEXINGTON, MS 39095(662) 834-1857(662) 834-1859 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Community Health NPPES

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

MALLORY COMMUNITY HEALTH (NPI 1205425535) is a healthcare organization registered as a federally qualified health center (fqhc) in Lexington, Mississippi and active in the NPI registry since January 2021. The organization lists Latonya Mabry, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1205425535
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMALLORY COMMUNITY HEALTH
Location Address17280 HIGHWAY 17Lexington, MS 39095-6614
Mailing AddressPo Box 479Lexington, MS 39095-0479 · (662) 834-1857 · Fax (662) 834-1859
Fax(662) 834-1859
Organization SubpartNo
Authorized OfficialLatonya MabryBusiness Manager · (662) 834-0746
Enumeration DateJanuary 12, 2021
NPPES CertifiedDecember 30, 2020
NPI 1205425535 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
17280 HIGHWAY 17, Lexington, MS 39095

Other Names 1

Other NameMallory Mobile Rv Clinic 2

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
17280 HIGHWAY 17
LEXINGTON, MS 39095
Dietitian, Registered
17280 HIGHWAY 17
LEXINGTON, MS 39095
Nurse Practitioner (Family)
17280 HIGHWAY 17
LEXINGTON, MS 39095
Family Medicine
17280 HIGHWAY 17
LEXINGTON, MS 39095
Family Medicine
17280 HIGHWAY 17
LEXINGTON, MS 39095
Clinic/Center (Federally Qualified Health Center (FQHC))
17280 HIGHWAY 17
LEXINGTON, MS 39095
Clinic/Center (Federally Qualified Health Center (FQHC))
17280 HIGHWAY 17
LEXINGTON, MS 39095
Dietitian, Registered
17280 HIGHWAY 17
LEXINGTON, MS 39095

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 1205425535. It was assigned to this organization in the NPPES registry on January 12, 2021. The provider is also known as Mallory Mobile RV Clinic 2.

Where is Mallory Community Health located?

Mallory Community Health is located at 17280 Highway 17, Lexington, MS 39095. The listed phone number is (662) 834-1857.

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 January 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.