Extended Care Clinical Services LLC
NPI 1134741945 · Primary Care Clinic/Center · Brookhaven, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Extended Care Clinical Services LLC is a Primary Care Clinic/Center organization in Brookhaven, MS (NPI 1134741945).
Provider details
- NPI number
- 1134741945
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mallory Mowdy, President(601) 730-0602
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Extended Care Clinical Services
- Doing business as
- Extended Care Clinical Services
Registry dates
- Enumerated
- 2020-05-14
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Frequently asked questions
- What is Extended Care Clinical Services LLC's NPI number?
- Extended Care Clinical Services LLC's National Provider Identifier (NPI) is 1134741945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extended Care Clinical Services LLC?
- Extended Care Clinical Services LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Extended Care Clinical Services LLC located?
- Extended Care Clinical Services LLC's practice location on file with NPPES is 545 Brookway Blvd, Brookhaven, MS 39601-3266.
- What is Extended Care Clinical Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Extended Care Clinical Services LLC is (601) 833-5255.
- Does Extended Care Clinical Services LLC accept Medicare?
- Extended Care Clinical Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Extended Care Clinical Services LLC?
- The authorized official listed on Extended Care Clinical Services LLC's NPPES record is Mallory Mowdy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extended Care Clinical Services LLC's NPI active?
- Yes — Extended Care Clinical Services LLC's NPI (1134741945) is active in the NPPES registry as of the last update on 2025-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.