Organization
AARON E. HENRY COMMUNITY HEALTH
Active
Other names
Qutiman County School Based Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AURELIA TAYLOR (CHEIF EXECUTIVE OFFICER)
(662) 624-4292
Entity
Organization
Contact information
Practice address
HWY 3 SOUTH, MARKS, MS 38646
(662) 326-4850
(662) 326-7339
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
—
06071341
—
MS
Enumeration date
07/13/2005
Last updated
06/01/2020
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