MALL SERVICES LLC NPI 1841456472

NPI Information

  • NPI: 1841456472
  • Provider Name: MALL SERVICES, LLC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Doing Business As: WESTSIDE COMMUNITY CLINIC
  • Address: 1066 WIGGINS ROAD
    JACKSON, MS
    ZIP 39209
  • Phone: (601) 982-0673

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NPI Details

MALL SERVICES, LLC is a community health clinic center in Jackson, MS. MALL SERVICES, LLC NPI is 1841456472. The provider is registered as an organization entity type.
The provider Is Doing Business As Westside Community Clinic.

The provider's business location address is:

1066 WIGGINS ROAD
JACKSON, MS
ZIP 39209
Phone: (601) 982-0673
Fax: (601) 982-0459

The provider's authorized official is Cheryl R Walker .
The authorized official title is Clinic Manager and has the following contact phone number (601) 982-0673.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 8/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthR656046MISSISSIPPINo
2261QC1500XClinic/CenterCommunity HealthV-014MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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