Convenient Care Clinic

LBN: Mall Services, Llc
Convenient Care Clinic is an health care organization with primary practice located at 350 W Woodrow Wilson Ave Suite 615, Jackson MS 39213-7681. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mall Services, Llc can be contacted via phone (601) 982-0673, or through Walker, Cheryl R via phone (601) 982-0673.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave Suite 615 Jackson MS 39213-7681
Phone: (601) 982-0673
Fax: (601) 982-0459
Website:
Map and Directions
Authorized official contact:
Name: Walker, Cheryl R
Phone: (601) 982-0673

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X V-014 Mississippi
Ambulatory Health Care Facilities / Primary Care 261QP2300X R729183 Mississippi

Profile Details

NPI number 1285700617
LBN Legal business name Mall Services, Llc
DBA Doing business as Convenient Care Clinic
Authorized official Walker, Cheryl R
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285700617 NPPES
Mississippi MEDICAID 08406271
Mississippi MEDICAID 07606048

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