MALL SERVICES, LLC


Address: 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030
Phone: 6019820673

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Jones Health Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2050 MARTIN LUTHER KING JR DR
City JACKSON
State MS
Zip Code 39203-1030

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548720568 First Choice Family Healthcare Clinic Pllc Clinic/Center 119 S Oak Ste 2, Raymond, MS 39154-4205 2019-03-25
1801318290 Mississippi Enjoy Breastfeeding Shalom Resource Center Clinic/Center 343 Smith Street, Canton, MS 39046 2017-07-07
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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Competitor

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City JACKSON
Zip Code 39203

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Dataset Information

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.

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