Aurelia Jones - Taylor Administrative Complex is a
Clinic/center - Federally Qualified Health Center (fqhc) based in Clarksdale, Mississippi. Aurelia Jones - Taylor Administrative Complex is licensed to practice in * (Not Available) (license number ) and their current practice location is
600 Ohio Ave, Clarksdale, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(662) 624-4292.
NPI number for Aurelia Jones - Taylor Administrative Complex is 1104574847 and their current mailing address is Po Box 1216, Clarksdale, Mississippi. Aurelia Jones - Taylor Administrative Complex
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104574847.
Healthcare Provider's Profile
| Full Name | Aurelia Jones - Taylor Administrative Complex |
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| Type | Facility |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 600 Ohio Ave, Clarksdale, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104574847
- Provider Enumeration Date: 03/11/2022
- Last Update Date: 08/19/2022
Medical Identifiers
Medical identifiers for Aurelia Jones - Taylor Administrative Complex such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104574847 | NPI | - | NPPES |
| 09010039 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aurelia Jones - Taylor Administrative Complex is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Aurelia Jones - Taylor Administrative Complex
Po Box 1216,
Clarksdale, MS 38614-1216
Ph: (662) 624-4292 | Aurelia Jones - Taylor Administrative Complex
600 Ohio Ave,
Clarksdale, MS 38614-6020
Ph: (662) 624-4292 |
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