Organization
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AURELIA TAYLOR (CHEIF EXECUTIVE OFFICER)
(662) 624-4292
Entity
Organization
Contact information
Practice address
103 MAIN ST, COMO, MS 38619
(662) 526-9922
(662) 526-9463
Mailing address
510 HIGHWAY 322, P O BOX 1216, CLARKSDALE, MS 38614-4717
(662) 624-2504
(662) 627-3629
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015068
—
MS
Enumeration date
07/12/2005
Last updated
02/15/2008
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