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

Active since August 26, 2016
17280 HIGHWAY 17, LEXINGTON, MS 39095(662) 834-1857(662) 834-1859 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 30, 2020, Jul 20, 2020, Aug 26, 2016 (3 updates tracked since 2016).

About Mallory Mobile Rv Clinic NPPES

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

MALLORY MOBILE RV CLINIC (NPI 1508312992) is a healthcare organization registered as a federally qualified health center (fqhc) in Lexington, Mississippi and active in the NPI registry since August 2016. The organization lists Clyde Rozell Chapman, Chief Exexcutive Officer, as its authorized official.

NPPES Registry Identity

NPI1508312992
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
Phone(662) 834-1857
Fax(662) 834-1859
Organization SubpartNo
Authorized OfficialClyde Rozell ChapmanChief Exexcutive Officer · (662) 834-1857
Enumeration DateAugust 26, 2016
Last NPPES UpdateDecember 30, 20203 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1508312992 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
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Other Names 1

Other NameMallory Mobile Rv Clinic

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.

KATHRYN CONNER CARROLL FNP-BC
Nurse Practitioner (Family)
17280 HIGHWAY 17
LEXINGTON, MS 39095
Holmes County (662) 834-1857
AMBER FLY WESTBROOKS L.D.
Dietitian, Registered
17280 HIGHWAY 17
LEXINGTON, MS 39095
Holmes County (662) 834-1857
MALLORY COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
17280 HIGHWAY 17
LEXINGTON, MS 39095
Holmes County (662) 834-1857
MRS. MELANIE EILAND NP
Nurse Practitioner (Family)
17280 HIGHWAY 17
LEXINGTON, MS 39095
Holmes County (662) 834-1857
ABIOLA NIKE OKE MD
Family Medicine
17280 HIGHWAY 17
LEXINGTON, MS 39095
Holmes County (662) 834-1857
MALLORY COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
17280 HIGHWAY 17
LEXINGTON, MS 39095
Holmes County (662) 834-1857
DR. JASON SPENCER RUTLEDGE DNP, FNP-C
Nurse Practitioner (Family)
17280 HIGHWAY 17
LEXINGTON, MS 39095
Holmes County (662) 834-1857
LINDSAY TAYLOR R.D.
Dietitian, Registered
17280 HIGHWAY 17
LEXINGTON, MS 39095
Holmes County (662) 834-1857

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 1508312992. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is also known as Mallory Mobile Rv Clinic.

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 December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.