Organization
AARON E HENRY COMMUNITY HEALTH
Active
Other names
TALLACHATCHIE SCHOOL BASED CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AURELIA TAYLOR (CHEIF EXECUTIVE OFFICE)
(662) 624-4292
Entity
Organization
Contact information
Practice address
FRIENDSHIP RD, SUMNER, MS 38957
(662) 375-8818
(662) 375-8646
Mailing address
510 HIGHWAY 322, P O BOX 1216, CLARKSDALE, MS 38614-4717
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08982230
—
MS
Enumeration date
08/11/2005
Last updated
10/05/2010
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