MALLORY MOBILE RV CLINIC
NPI 1508312992
Clinic/Center - Federally Qualified Health Center (FQHC) in Lexington, MS

NPI Status: Active since August 26, 2016

Contact Information

17280 HIGHWAY 17
LEXINGTON, MS
ZIP 39095
Phone: (662) 834-1857
Fax: (662) 834-1859

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 25D2118341
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 09-05-2026

About MALLORY MOBILE RV CLINIC

This page provides the complete NPI Profile along with additional information for Mallory Mobile Rv Clinic, a primary care provider established in Lexington, Mississippi operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1508312992 assigned on August 2016. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Mallory Mobile Rv Clinic. The authorized official of this NPI record is Dr. Clyde Rozell Chapman Ii M.d. (Chief Exexcutive Officer)

NPI
1508312992
Provider Legal Name
MALLORY COMMUNITY HEALTH
Other Organization Name
MALLORY MOBILE RV CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
17280 HIGHWAY 17 LEXINGTON, MS 39095
Location Phone
(662) 834-1857
Location Fax
(662) 834-1859
Mailing Address
PO BOX 479 LEXINGTON, MS 39095
Mailing Phone
(662) 834-1857
Mailing Fax
(662) 834-1859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-26-2016
Last Update Date
12-30-2020
Code Navigator

A primary care provider (PCP) like Mallory Mobile Rv Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CLYDE ROZELL CHAPMAN II M.D.

Authorized Official Title
CHIEF EXEXCUTIVE OFFICER
Authorized Official Phone
(662) 834-1857

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2118341
Facility Type
Mobile Laboratory
Certificate Effective Date
September 06, 2024
Certificate Expiration Date
September 05, 2026
Laboratory Director
CLYDE R. CHAPMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mallory Mobile Rv Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508312992, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 6 + 1 + 4 + 9 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1508312992.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508312992, enumerated as an "organization" on August 26, 2016.

The provider is located at 17280 HIGHWAY 17 LEXINGTON, MS 39095 and the phone number is (662) 834-1857.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).