Organization
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Active
Parent organization
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Authorized official
LAQUITTA RICHARD GREEN (CHIEF FINANCIAL OFFICER)
(662) 624-4292
Entity
Organization
Contact information
Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-2504
(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
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01173078
—
MS
05
—
06071341
—
MS
05
—
09010039
—
MS
05
—
09014578
—
MS
01
—
CH046150
340B
MS
Enumeration date
09/24/2018
Last updated
09/24/2018
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