CONVENIENT CARE MOBILE CLINIC
NPI 1245477165
Clinic/Center in Jackson, MS
NPI Status: Active since January 14, 2009
Contact Information
350 W WOODROW WILSON AVE
SUITE 615
JACKSON, MS
ZIP 39213
Phone: (601) 982-0673
Fax: (601) 982-0459
- Organization
- Clinic/Center
About CONVENIENT CARE MOBILE CLINIC
This page provides the complete NPI Profile along with additional information for Convenient Care Mobile Clinic, a provider established in Jackson, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245477165 assigned on January 2009. The practitioner's primary taxonomy code is 261Q00000X with license number R656046 (MS). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Convenient Care Mobile Clinic. The authorized official of this NPI record is Mrs. Christal Rogers Lpn (Office Assistant)
- NPI
- 1245477165
- Provider Legal Name
- MALL SERVICES, LLC
- Other Organization Name
- CONVENIENT CARE MOBILE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 350 W WOODROW WILSON AVE SUITE 615 JACKSON, MS 39213
- Location Phone
- (601) 982-0673
- Location Fax
- (601) 982-0459
- Mailing Address
- 350 W WOODROW WILSON AVE SUITE 615 JACKSON, MS 39213
- Mailing Phone
- (601) 982-0673
- Mailing Fax
- (601) 982-0459
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-14-2009
- Last Update Date
- 01-14-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- R656046
- License State
- MS
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08406271 | MEDICAID (05) | MS | |
| 1710084504 | OTHER (01) | NPI | |
| 00115980 | MEDICAID (05) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 4 | 7 | 7 | 1 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 8 | 7 | 14 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 8 + 7 + 1 + 4 + 1 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1245477165 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881673648 | DR. JAN M HAUSMANN MD Individual | Internal Medicine | 350 W WOODROW WILSON AVE JACKSON-HINDS COMPREHENSIVE HEALTH CENTER JACKSON, MS 39213 (601) 709-5130 |
| 1811944077 | MS. JOSELYN C BACON CNM Individual | Nurse Practitioner | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 364-2666 |
| 1770525057 | VOICE OF CALVARY FAMILY HEALTH CENTER INC Organization | Point of Service | 350 W WOODROW WILSON AVE SUITE 611 JACKSON, MS 39213 (601) 713-3233 |
| 1033146725 | DR. EVA MAE HENDERSON M.D. Individual | Pediatrics | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 709-5150 |
| 1275627747 | MISS GWEN BUSSA CNM Individual | Advanced Practice Midwife | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 709-5160 |
| 1851468268 | MRS. DEBRA CATRIA SUTTON NP Individual | Nurse Practitioner (Family) | 350 W WOODROW WILSON AVE SUITE 611 JACKSON, MS 39213 (601) 713-3233 |
| 1609937853 | DR. MARY G ARMSTRONG M.D. Individual | Family Medicine | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 978-7864 |
| 1396806923 | DR. DANIEL M RICHE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 350 W WOODROW WILSON AVE SUITE 202 JACKSON, MS 39213 (601) 815-8729 |
| 1265577050 | JUDITH WARD Individual | Nurse Practitioner (Women's Health) | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 364-2666 |
| 1821123670 | PAUL E. BYERS Individual | Preventive Medicine (Public Health & General Preventive Medicine) | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 364-2666 |
| 1750402855 | DR. SCOTT STANLEY MALINOWSKI PHARM.D. Individual | Pharmacist | 350 W WOODROW WILSON AVE CARDIOLOGY - HEART FAILURE DISEASE MANAGEMENT CLINIC JACKSON, MS 39213 (601) 815-1420 |
| 1225259104 | DR. ALICIA ANNE ROSE D.M.D. Individual | Dentist (General Practice) | 350 W WOODROW WILSON AVE JACKSON MEDICAL MALL, SUITE 3516 JACKSON, MS 39213 (601) 987-5566 |
| 1194930693 | STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 350 W WOODROW WILSON AVE SUITE 479 JACKSON, MS 39213 (601) 815-6350 |
| 1558570820 | DR. CHERISE MCINTOSH PHARMD Individual | Pharmacist | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 815-4772 |
| 1619188026 | DR. KAISHA RENADA GRIFFIN M.D. Individual | Pediatrics | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 709-5130 |
| 1457541450 | DR. CHRISTOPHER BULLIN O.D. Individual | Optometrist | 350 W WOODROW WILSON AVE SUITE 3110 JACKSON, MS 39213 (601) 366-9020 |
| 1396929907 | NEIGHBORHOOD MEDICAL SERVICES, LLC Organization | Clinic/Center (Community Health) | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 982-0673 |
| 1023285046 | JACKSON STATE UNIVERSITY Organization | Social Worker (Clinical) | 350 W WOODROW WILSON AVE JACKSON, MS 39213 (601) 979-1531 |
| 1952568826 | MRS. COURTNEY WAGES TOMLINSON CFNP Individual | Nurse Practitioner (Family) | 350 W WOODROW WILSON AVE SUITE 1600 JACKSON, MS 39213 (601) 815-6869 |
| 1356592190 | AMY CRAFT Individual | Speech-Language Pathologist | 350 W WOODROW WILSON AVE COMMUNICATIVE SCIENCES JACKSON, MS 39213 (601) 815-5298 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245477165, enumerated in the NPI registry as an "organization" on January 14, 2009
The provider is located at 350 W Woodrow Wilson Ave Suite 615 Jackson, Ms 39213 and the phone number is (601) 982-0673
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 14, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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