MEDICAL MALL HEALTH SERVICES
NPI 1679843452
Clinic/Center - Health Service in Jackson, MS
About Medical Mall Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL MALL HEALTH SERVICES (NPI 1679843452) is a healthcare organization registered as a health service in Jackson, Mississippi and active in the NPI registry since January 2012. The organization lists James Clayton Bardwell, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
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 Medical Mall Services Of Mississippi, LLC's NPI number?
The NPI number for Medical Mall Services Of Mississippi, LLC is 1679843452. It was assigned to this organization in the NPPES registry on January 10, 2012. The provider is doing business as Medical Mall Health Services.
Where is Medical Mall Services Of Mississippi, LLC located?
Medical Mall Services Of Mississippi, LLC is located at 350 W Woodrow Wilson Ave, Jackson, MS 39213. The listed phone number is (610) 672-2733.
What is Medical Mall Services Of Mississippi, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
When was this NPI record last updated?
The NPPES record for Medical Mall Services Of Mississippi, LLC was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Medical Mall Health Services · NPI 1679843452
Health Service organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since January 10, 2012.
## Identity
- **NPI:** 1679843452 (Entity type: Organization)
- **Enumerated:** January 10, 2012
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Legal business name:** Medical Mall Services Of Mississippi, Llc
- **Organization subpart:** No
- **Authorized official:** James Bardwell, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 350 W WOODROW WILSON AVE, Jackson, MS 39213-7681
- **Phone:** (610) 672-2733
## Record status
- **NPPES last updated:** January 10, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1679843452) · Data from the CMS NPPES public registry.