| Aaron E. Henry Community Health Services Center, Inc | |
|
800 Ohio Ave Clarksdale MS 38614-7200 | |
| (662) 624-4292 | |
| (662) 624-4354 |
| Full Name | Aaron E. Henry Community Health Services Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Ohio Ave, Clarksdale, Mississippi |
| Authorized Official Name and Position | Aurelia Taylor (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6626244292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron E. Henry Community Health Services Center, Inc 510 Highway 322 P O Box 1216 Clarksdale MS 38614-4717 Ph: (662) 624-4292 | Aaron E. Henry Community Health Services Center, Inc 800 Ohio Ave Clarksdale MS 38614-7200 Ph: (662) 624-4292 |
| NPI Number | 1144227901 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 1153230560 |
|---|---|
| Medicare Enrollment ID | O20100916001345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144227901 | NPI | - | NPPES |
| 09010039 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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