Organization
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Active
Parent organization
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Other names
The Childrens Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Authorized official
CANDACE L FONDREN (REVENUE CYCLE MANAGER)
(662) 624-4292
Entity
Organization
Contact information
Practice address
2245 N STATE ST, CLARKSDALE, MS 38614-6102
(662) 624-4292
(662) 624-4354
Mailing address
PO BOX 1216, CLARKSDALE, MS 38614-1216
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09010039
—
MS
Enumeration date
06/02/2022
Last updated
06/02/2022
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