Medical Mall Health Services At Cmmc
LBN: Mall Services, Llc
Medical Mall Health Services At Cmmc is an health care organization with primary practice located at 1860 Chadwick Dr Suite 305, Jackson MS 39204-3463. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty.
Mall Services, Llc can be contacted via phone (601) 503-4960, or through Shirley, Aaron via phone (601) 982-0673.
Contact Information
Primary practice address
1860 Chadwick Dr Suite 305
Jackson MS 39204-3463
Phone: (601) 503-4960
Fax: (601) 982-0459
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Health Service | 261QH0100X | 10119 | Mississippi |
Profile Details
NPI number | 1548539117 |
---|---|
LBN Legal business name | Mall Services, Llc |
DBA Doing business as | Medical Mall Health Services At Cmmc |
Authorized official | Shirley, Aaron Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 27th, 2011 |
Last updated | Dec 27th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548539117 | NPPES |
Mississippi | MEDICAID | 08406271 |
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