MIDTOWN MOBILE CLINIC
NPI 1285126029
Clinic/Center in Jackson, MS

NPI Status: Active since June 06, 2018

Contact Information

258 E FORTIFICATION ST
JACKSON, MS
ZIP 39202
Phone: (601) 815-8230

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  • Organization
  • Clinic/Center

About MIDTOWN MOBILE CLINIC

This page provides the complete NPI Profile along with additional information for Midtown Mobile Clinic, a provider established in Jackson, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1285126029 assigned on June 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Midtown Mobile Clinic. The authorized official of this NPI record is Mr. Jeffrey Grimsley (Interim Cfo)

NPI
1285126029
Provider Legal Name
STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Other Organization Name
MIDTOWN MOBILE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
258 E FORTIFICATION ST JACKSON, MS 39202
Location Phone
(601) 815-8230
Mailing Address
2500 N STATE ST JACKSON, MS 39216
Mailing Phone
(601) 984-6270
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-06-2018
Last Update Date
06-06-2018
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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
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFFREY GRIMSLEY

Authorized Official Title
INTERIM CFO
Authorized Official Phone
(601) 815-8732

Reviews for MIDTOWN MOBILE CLINIC

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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.
1285126029
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165221204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 2 + 1 + 2 + 0 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1285126029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023077765DR. BARBARA JANET BOSS CFNP
Individual
Nurse Practitioner258 E FORTIFICATION ST
JACKSON, MS 39202
(601) 815-8230
1861451510DR. AUDWIN FLETCHER CFNP
Individual
Nurse Practitioner258 E FORTIFICATION ST
JACKSON, MS 39202
(601) 815-8230
1588624621MS. PAMELA HELMS CFNP
Individual
Nurse Practitioner258 E FORTIFICATION ST
JACKSON, MS 39202
(601) 815-8230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285126029, enumerated in the NPI registry as an "organization" on June 06, 2018

The provider is located at 258 E Fortification St Jackson, Ms 39202 and the phone number is (601) 815-8230

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on June 06, 2018. 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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