DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
NPI 1780395632
Clinic/Center - Federally Qualified Health Center (FQHC) in Pickens, MS

Active since December 12, 2022
175 LEXINGTON STREET, PICKENS, MS 39146(662) 834-0752 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 24, 2023, Jul 28, 2023, Dec 12, 2022 (3 updates tracked since 2022).

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 1780395632) is a healthcare organization registered as a federally qualified health center (fqhc) in Pickens, Mississippi and active in the NPI registry since December 2022. The organization lists Latrice Hudson, Revenue Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1780395632
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMALLORY COMMUNITY HEALTH
Location Address175 LEXINGTON STREETPickens, MS 39146
Mailing Address17280 Highway 17 SouthLexington, MS 39095 · (662) 834-0532
Organization SubpartYes
Authorized OfficialLatrice HudsonRevenue Credentialing Specialist · (662) 834-0752
Enumeration DateDecember 12, 2022
Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1780395632 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
175 LEXINGTON STREET, Pickens, MS 39146

Other Names 1

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

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 1780395632. It was assigned to this organization in the NPPES registry on December 12, 2022. 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 175 Lexington Street, Pickens, MS 39146. The listed phone number is (662) 834-0752.

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 August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.