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CH04798E ARENIA C. MALLORY COMM HLTH CTR (Active)
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Main Details
Name
ARENIA C. MALLORY COMM HLTH CTR
Subdivision Name
Lexington Pediatric Complex
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012494
340B ID
CH04798E
Grant Number
H80CS00580
Additional Details
Current Program Status
Active
Registration Date
8/31/2015
Participating Start Date
10/1/2015
Participating Approval Date
9/1/2015
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Mallory Community Health Center
Clyde Rozell Chapman, CEO
(662) 834-2566 Ext: 1013
Primary Contact
Mallory Community Health Center
Sammie Binder, Risk and Safety Officer
(662) 834-1857 Ext: 1030
Addresses
Street Address
300 Yazoo St
Lexington, MS 39095-3623
Billing Address
Dr. Arenia C Mallory Community Health Center
17280 Hwy 17 South
Lexington, MS 39095
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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