MEDICAL MALL HEALTH SERVICES
NPI 1679843452
Clinic/Center - Health Service in Jackson, MS
- Organization
- Clinic/Center
- Health Service
About MEDICAL MALL HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Medical Mall Health Services, a provider established in Jackson, Mississippi operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1679843452 assigned on January 2012. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Medical Mall Health Services. The authorized official of this NPI record is Mr. James Clayton Bardwell (Chief Financial Officer)
- NPI
- 1679843452 Verify this NPI
- Provider Legal Name
- MEDICAL MALL SERVICES OF MISSISSIPPI, LLC
- Other Organization Name
- MEDICAL MALL HEALTH SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 350 W WOODROW WILSON AVE JACKSON, MS 39213
- Location Phone
- (610) 672-2733
- Mailing Address
- 2820 BLADENSBURG RD NE 2ND FLOOR WASHINGTON, DC 20018
- Mailing Phone
- (202) 459-4766
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-10-2012
- Last Update Date
- 01-10-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679843452, enumerated as an "organization" on January 10, 2012.
The provider is located at 350 W WOODROW WILSON AVE JACKSON, MS 39213 and the phone number is (610) 672-2733.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.