Aurelia Jones - Taylor Administrative Complex

LBN: Aaron E. Henry Community Health
Aurelia Jones - Taylor Administrative Complex is an health care organization with primary practice located at 600 Ohio Ave , Clarksdale MS 38614-6020. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Aaron E. Henry Community Health can be contacted via phone (662) 624-4292, or through Fondren, Candace L via phone (662) 624-4292.

Contact Information

Primary practice address
600 Ohio Ave Clarksdale MS 38614-6020
Fax: (662) 351-3303
Website:
Authorized official contact:
Name: Fondren, Candace L

Profile Details

NPI number 1104574847
LBN Legal business name Aaron E. Henry Community Health
DBA Doing business as Aurelia Jones - Taylor Administrative Complex
Authorized official Fondren, Candace L
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 11th, 2022
Last updated Aug 19th, 2022 - about 2 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 1104574847 NPPES
Mississippi MEDICAID 09010039

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