MEDICAL MALL HEALTH SERVICES
NPI 1679843452
Clinic/Center - Health Service in Jackson, MS

Active since January 10, 2012
350 W WOODROW WILSON AVE, JACKSON, MS 39213(610) 672-2733 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JAMES CLAYTON BARDWELL

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(202) 459-4766

Reviews for MEDICAL MALL HEALTH SERVICES

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Point of Service
350 W WOODROW WILSON AVE, SUITE 611
JACKSON, MS 39213
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Advanced Practice Midwife
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 611
JACKSON, MS 39213
Pharmacist (Pharmacotherapy)
350 W WOODROW WILSON AVE, SUITE 202
JACKSON, MS 39213
Nurse Practitioner (Women's Health)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Preventive Medicine (Public Health & General Preventive Medicine)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Pharmacist
350 W WOODROW WILSON AVE, CARDIOLOGY - HEART FAILURE DISEASE MANAGEMENT CLINIC
JACKSON, MS 39213
Dentist (General Practice)
350 W WOODROW WILSON AVE, JACKSON MEDICAL MALL, SUITE 3516
JACKSON, MS 39213
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
350 W WOODROW WILSON AVE, SUITE 479
JACKSON, MS 39213
Pharmacist
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Pediatrics
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Optometrist
350 W WOODROW WILSON AVE, SUITE 3110
JACKSON, MS 39213
Clinic/Center (Community Health)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Social Worker (Clinical)
350 W WOODROW WILSON AVE
JACKSON, MS 39213
Nurse Practitioner (Family)
350 W WOODROW WILSON AVE, SUITE 1600
JACKSON, MS 39213
Speech-Language Pathologist
350 W WOODROW WILSON AVE, COMMUNICATIVE SCIENCES
JACKSON, MS 39213
Family Medicine
350 W WOODROW WILSON AVE, BOX 20
JACKSON, MS 39213
Clinic/Center
350 W WOODROW WILSON AVE, SUITE 615
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.