| Aaron E Henry Community Health | |
|
1820 Peabody St Tunica MS 38676-9441 | |
| (662) 363-3656 | |
| (662) 363-3789 |
| Full Name | Aaron E Henry Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1820 Peabody St, Tunica, Mississippi |
| Authorized Official Name and Position | Aurelia Taylor (CHEIF EXECUTIVE OFFICE) |
| 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 510 Highway 322 P O Box 1216 Clarksdale MS 38614-4717 Ph: (662) 624-4292 | Aaron E Henry Community Health 1820 Peabody St Tunica MS 38676-9441 Ph: (662) 363-3656 |
| NPI Number | 1609874700 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 06/01/2020 |
| Medicare PECOS PAC ID | 1153230560 |
|---|---|
| Medicare Enrollment ID | O20111109000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609874700 | NPI | - | NPPES |
| 09014578 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Tunica County Healthcare Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Highway 61 N, Tunica, MS 38676 Phone: 662-357-0012 Fax: 662-357-0021 | |
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