OrganizationActive
Mallory Community Health
NPI 1104279355 · Federally Qualified Health Center (FQHC) · Goodman, MS
Provider details
- NPI number
- 1104279355
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clyde Chapman, Chief Executive Officer(662) 834-2566
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3877 Highway 51
Goodman, MS 39079-9588
Phone: (662) 468-2116
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 479
Lexington, MS 39095-0479
Other names (DBA / former)
- Other name
- Dr. Arenia C. Mallory Community Health Center, Inc.
Registry dates
- Enumerated
- 2016-07-22
- Last updated
- 2016-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.