<Unavail>
LBN: Mall Services, Llc
<Unavail> is an health care organization with primary practice located at 809 N State St , Jackson MS 39202-2604. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Mall Services, Llc can be contacted via phone (601) 982-0673, or through Rogers, Christal via phone (601) 982-0673.
Contact Information
Primary practice address
809 N State St
Jackson MS 39202-2604
Phone: (601) 982-0673
Fax: (601) 982-0459
Website:
Authorized official contact:
Name: Rogers, Christal Licensed Practical Nurse (LPN)
Phone: (601) 982-0673
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | P320574 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R656046 | Mississippi |
Profile Details
| NPI number | 1063659340 |
|---|---|
| LBN Legal business name | Mall Services, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Rogers, Christal Licensed Practical Nurse (LPN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2009 |
| Last updated | Jan 8th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063659340 | NPPES |
| Mississippi | MEDICAID | 00115980 | |
| Mississippi | MEDICAID | 08406271 |
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