Organization
AARON E HENRY COMMUNITY HEALTH
Active
Other names
Aaron E Henry Community Health Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AURELIA JONES-TAYLOR (CEO)
66262442504
Entity
Organization
Contact information
Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-4292
(662) 624-4292
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
—
09010039
—
MS
Enumeration date
04/04/2013
Last updated
04/04/2013
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