MEDICAL MALL HEALTH SERVICES
NPI 1679843452
Clinic/Center - Health Service in Jackson, MS
NPI Status: Active since January 10, 2012
Contact Information
350 W WOODROW WILSON AVE
JACKSON, MS
ZIP 39213
Phone: (610) 672-2733
- Organization
- Clinic/Center
- Health Service
About MEDICAL MALL HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Medical Mall Health Services, a provider established in Jackson, Mississippi operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1679843452 assigned on January 2012. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Medical Mall Health Services. The authorized official of this NPI record is Mr. James Clayton Bardwell (Chief Financial Officer)
- NPI
- 1679843452
- Provider Legal Name
- MEDICAL MALL SERVICES OF MISSISSIPPI, LLC
- Other Organization Name
- MEDICAL MALL HEALTH SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 350 W WOODROW WILSON AVE JACKSON, MS 39213
- Location Phone
- (610) 672-2733
- Mailing Address
- 2820 BLADENSBURG RD NE 2ND FLOOR WASHINGTON, DC 20018
- Mailing Phone
- (202) 459-4766
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-10-2012
- Last Update Date
- 01-10-2012
- 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 Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
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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 | 6 | 7 | 9 | 8 | 4 | 3 | 4 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 16 | 4 | 6 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 6 + 4 + 6 + 4 + 1 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1679843452 is valid because the calculated check digit 2 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 1679843452, enumerated in the NPI registry as an "organization" on January 10, 2012
The provider is located at 350 W Woodrow Wilson Ave Jackson, Ms 39213 and the phone number is (610) 672-2733
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
This NPI record was last updated on January 10, 2012. 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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