Aaron E. Henry Community Health Services Center, Inc

LBN: Aaron E. Henry Community Health Services Center, Inc
Aaron E. Henry Community Health Services Center, Inc is an health care organization with primary practice located at 2245 N State St , Clarksdale MS 38614-6102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Aaron E. Henry Community Health Services Center, Inc can be contacted via phone (662) 624-4292, or through Fondren, Candace L via phone (662) 624-4292.

Contact Information

Primary practice address
2245 N State St Clarksdale MS 38614-6102
Phone: (662) 624-4292
Fax: (662) 624-4354
Website:
Map and Directions
Authorized official contact:
Name: Fondren, Candace L
Phone: (662) 624-4292

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1134868672
LBN Legal business name Aaron E. Henry Community Health Services Center, Inc
DBA Doing business as
Authorized official Fondren, Candace L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 2nd, 2022
Last updated Jun 2nd, 2022 - about 3 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 1134868672 NPPES
Mississippi MEDICAID 09010039

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