MEDICAL MALL HEALTH SERVICES OF JACKSON
NPI 1881975621
Clinic/Center in Jackson, MS

Q: What is Medical Mall Health Services, LLC's NPI number?

The NPI number for Medical Mall Health Services, LLC is 1881975621. It was assigned to this organization in the NPPES registry on September 7, 2011. The provider is doing business as Medical Mall Health Services Of Jackson.

Q: What is Medical Mall Health Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since September 07, 2011

450 WOODROW WILSON DRIVE, SUITE 499A, JACKSON, MS 39312(601) 500-7709 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Medical Mall Health Services Of Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL MALL HEALTH SERVICES OF JACKSON (NPI 1881975621) is a healthcare organization registered as a clinic/center in Jackson, Mississippi and active in the NPI registry since September 2011. The organization lists James C Bardwell, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1881975621

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMEDICAL MALL HEALTH SERVICES, LLC

Location Address450 WOODROW WILSON DRIVE, SUITE 499AJackson, MS 39312-4101

Mailing Address2820 Bladensburg Road, NeWashington, DC 20018-4101 · (202) 448-2983

Phone(601) 500-7709

Organization SubpartNo

Authorized OfficialJames C BardwellChief Financial Officer · (202) 448-2983

Enumeration DateSeptember 7, 2011

✔ NPI 1881975621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

450 WOODROW WILSON DRIVE, Jackson, MS 39312

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Other Names 1

Doing Business AsMedical Mall Health Services Of Jackson

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 Health Services, LLC's NPI number?

The NPI number for Medical Mall Health Services, LLC is 1881975621. It was assigned to this organization in the NPPES registry on September 7, 2011. The provider is doing business as Medical Mall Health Services Of Jackson.

Where is Medical Mall Health Services, LLC located?

Medical Mall Health Services, LLC is located at 450 Woodrow Wilson Drive Suite 499A, Jackson, MS 39312. The listed phone number is (601) 500-7709.

What is Medical Mall Health Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Medical Mall Health Services, LLC was last updated on September 7, 2011. 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.