MALL SERVICES, LLC (NPI# 1568628980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568628980 |
Entity Type | Organization |
Organization Name | MALL SERVICES, LLC |
Other Organization Name | JONES HEALTH CLINIC |
Practice Address |
2050 Martin Luther King Jr Dr Jackson MS 39203-1030 |
Mailing Address |
350 W Woodrow Wilson Ave Suite 615 Jackson MS 39213-7681 |
Practice Telephone | 6019820673 |
Practice Fax Number | 6019820459 |
Mailing Telephone | 6019820673 |
Mailing Fax Number | 6019820459 |
Enumeration Date | 2008-08-05 |
Last Update Date | 2008-08-05 |
Authorized Official Name | CHERYL R WALKER (CLINIC MANAGER) |
Authorized Official Telephone | 6019820673 |
Is Organization Subpart | Y |
Parent Organization Name | JACKSON MEDICAL MALL FOUNDATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
R656046 | MS | Ambulatory Health Care Facilities |
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
V-014 | MS | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Jones Health Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699005983 | Mall Services, LLC | Family Medicine | 386 Raymond Rd, Building 30, Jackson, MS 39204-3700 | 2010-01-08 |
1841456472 | Mall Services, LLC | Clinic/Center | 1066 Wiggins Road, Jackson, MS 39209 | 2008-08-04 |
1548539117 | Mall Services, LLC | Clinic/Center | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2011-12-27 |
1245477165 | Mall Services, LLC | Clinic/Center | 350 W Woodrow Wilson Ave, Suite 615, Jackson, MS 39213-7681 | 2009-01-14 |
1063659340 | Mall Services, LLC | Community Health Worker | 809 N State St, Jackson, MS 39202-2604 | 2009-01-08 |
1881878577 | Mall Services, LLC | Clinic/Center | 833 Maple St, Jackson, MS 39203-3844 | 2007-12-18 |
1285700617 | Mall Services, LLC | Clinic/Center | 350 W Woodrow Wilson Ave, Suite 615, Jackson, MS 39213-7681 | 2006-11-28 |
Street Address |
2050 MARTIN LUTHER KING JR DR |
City | JACKSON |
State | MS |
Zip Code | 39203-1030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
1083027544 | Debra Williams | Counselor | 514 West Fortification Ave, Jackson, MS 39203 | 2014-06-03 |
1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
1710022959 | Jackson Public Schools Dba Galloway Clinic | Registered Nurse | 186 Idlewild St, Jackson, MS 39203-1219 | 2007-02-21 |
1457522260 | Jimmie C Robinson | Durable Medical Equipment & Medical Supplies | 605 W Fortification St, Jackson, MS 39203-1706 | 2008-03-19 |
1093277428 | Connections Counseling & Consulting LLC | Social Worker | 338 Oak St, Jackson, MS 39203-1810 | 2019-04-04 |
1033504816 | Niesha Lasha Gilmore | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2015-03-30 |
1255952453 | Innovative Hands of Therapy Services LLC | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2020-04-29 |
1588812341 | Deepti Amol Janorkar | Dentist | 275 Roseneath Ave, Jackson, MS 39203-2052 | 2008-09-05 |
1558637207 | Anna Leigh Lovett | Family Medicine | 275 Roseneath Ave, Jackson, MS 39203-2052 | 2012-03-27 |
Find all providers in zip 39203 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
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---|---|---|---|---|
1033455852 | Global Treatment Clinic of Jackson LLC | Clinic/Center | 2460 Terry Rd, Suite 800, Jackson, MS 39204-5767 | 2012-12-26 |
1164652962 | The Steets Corporation | Clinic/Center | 3566 N Highland Ave, Suite A, Jackson, TN 38305-7890 | 2009-07-15 |
1841456472 | Mall Services, LLC | Clinic/Center | 1066 Wiggins Road, Jackson, MS 39209 | 2008-08-04 |
1295727287 | Mact Health Board, Inc. | Clinic/Center | 12140/12150 New York Ranch Rd, Jackson, CA 95642-9407 | 2005-08-17 |
1396929907 | Neighborhood Medical Services, LLC | Clinic/Center | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2007-12-19 |
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1144407420 | Southwest Health Agency for Rural People, Inc | Clinic/Center | 501 Eagle Day Ave, Columbia, MS 39429-3605 | 2008-01-29 |
1740310549 | Julia Street Clinic, Inc. | Clinic/Center | 102 Julia Street, Isola, MS 38754 | 2007-03-07 |
1932219524 | Access Family Health Services, Inc. | Clinic/Center | 60024 Olive St, Smithville, MS 38870-9719 | 2006-08-30 |
1730299827 | Access Family Health Services, Inc. | Clinic/Center | 12725 Highway 23 North, Tremont, MS 38876 | 2006-08-30 |
1033107289 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
1821092552 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2005-06-10 |
1588106553 | 121 Medical Place, Inc | Clinic/Center | 820 Mangum Ave, Mendenhall, MS 39114-3025 | 2016-11-08 |
1154878106 | Trina Health of Booneville, Inc. | Clinic/Center | 202 N 1st St Ste B, Booneville, MS 38829-2718 | 2016-09-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.