Tunica Rosa Fort School Based Clinic

LBN: Aaron E Henry Community Health
Tunica Rosa Fort School Based Clinic is an health care organization with primary practice located at 744 School St , Tunica MS 38676-9369. 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) 363-3971, or through Taylor, Aurelia via phone (662) 624-4292.

Contact Information

Primary practice address
744 School St Tunica MS 38676-9369
Phone: (662) 363-3971
Fax: (662) 363-3789
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 1912905993
LBN Legal business name Aaron E Henry Community Health
DBA Doing business as Tunica Rosa Fort School Based Clinic
Authorized official Taylor, Aurelia
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 1st, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912905993 NPPES
Mississippi MEDICAID 01173078

Popular Providers