Lanier Health Clinic

LBN: Mall Services, Llc
Lanier Health Clinic is an health care organization with primary practice located at 833 Maple St , Jackson MS 39203-3844. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mall Services, Llc can be contacted via phone (601) 982-0673, or through Shirley, Aaron via phone (601) 982-0673.

Contact Information

Primary practice address
833 Maple St Jackson MS 39203-3844
Phone: (601) 982-0673
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shirley, Aaron Doctor of Medicine (MD)
Phone: (601) 982-0673

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X R729183 Mississippi

Profile Details

NPI number 1881878577
LBN Legal business name Mall Services, Llc
DBA Doing business as Lanier Health Clinic
Authorized official Shirley, Aaron Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2007
Last updated Dec 18th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881878577 NPPES
Mississippi MEDICAID 08151531

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