Medical Mall Health Services

LBN: Medical Mall Services Of Mississippi, Llc
Medical Mall Health Services is an health care organization with primary practice located at 350 W Woodrow Wilson Ave , Jackson MS 39213-7681. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Medical Mall Services Of Mississippi, Llc can be contacted via phone (610) 672-2733, or through Bardwell, James Clayton via phone (202) 459-4766.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave Jackson MS 39213-7681
Phone: (610) 672-2733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bardwell, James Clayton
Phone: (202) 459-4766

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1679843452
LBN Legal business name Medical Mall Services Of Mississippi, Llc
DBA Doing business as Medical Mall Health Services
Authorized official Bardwell, James Clayton
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2012
Last updated Jan 10th, 2012 - about 12 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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