Tallachatchie School Based Clinic

LBN: Aaron E Henry Community Health
Tallachatchie School Based Clinic is an health care organization with primary practice located at Friendship Rd , Sumner MS 38957. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Aaron E Henry Community Health can be contacted via phone (662) 375-8818, or through Taylor, Aurelia via phone (662) 624-4292.

Contact Information

Primary practice address
Friendship Rd Sumner MS 38957
Phone: (662) 375-8818
Fax: (662) 375-8646
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Aurelia
Phone: (662) 624-4292

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1043212996
LBN Legal business name Aaron E Henry Community Health
DBA Doing business as Tallachatchie School Based Clinic
Authorized official Taylor, Aurelia
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 5th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043212996 NPPES
Mississippi MEDICAID 08982230

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