AARON E. HENRY COMMUNITY HEALTH (NPI# 1538167564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538167564 |
| Entity Type | Organization |
| Organization Name | AARON E. HENRY COMMUNITY HEALTH |
| Other Organization Name | QUTIMAN COUNTY SCHOOL BASED CLINIC |
| Practice Address |
Hwy 3 South Marks MS 38646 |
| Mailing Address |
510 Highway 322 P O Box 1216 Clarksdale MS 38614-4717 |
| Practice Telephone | 6623264850 |
| Practice Fax Number | 6623267339 |
| Mailing Telephone | 6626244292 |
| Mailing Fax Number | 6626244354 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | MS. AURELIA TAYLOR (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6626244292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06071341 | 05 |
| Other Name | Type Code |
|---|---|
| Qutiman County School Based Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC. | 510 Hwy 322, Clarksdale, MS 38614-4717 |
| Street Address |
HWY 3 SOUTH |
| City | MARKS |
| State | MS |
| Zip Code | 38646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356765101 | Healthyland Adult Day Care, LLC | Custodial Care Facility | 227 Pecan Street, Marks, MS 38646 | 2014-02-14 |
| 1164573176 | Warrington Clinic, P.a. | Family Medicine | 1022 Martin Luther King Drive, Pob 289, Marks, MS 38646 | 2007-01-16 |
| 1205932076 | Medstock, Inc. | Durable Medical Equipment & Medical Supplies | 206 East Main Street, Marks, MS 38646 | 2006-09-16 |
| 1700020278 | Karanpreet S Bains | Internal Medicine | 411 Poplar Street, Marks, MS 38646 | 2009-04-28 |
| 1790873669 | Dons Pharmacy Inc | Pharmacist | 200 E Main St, Marks, MS 38646 | 2006-10-10 |
| 1821001041 | Richard Edwin Waller | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-08-15 |
| 1578665840 | Salvador Nierras Petilos | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-09-05 |
| 1114127099 | George Edward Farrell | Nurse Practitioner | 411 Poplar Street, Marks, MS 38646-0347 | 2007-07-19 |
| 1992979124 | Quitman County School District | Local Education Agency (LEA) | Highway 3 South, Marks, MS 38646-0805 | 2008-04-18 |
| 1417497306 | Golden Years Healthcare LLC | Respite Care | 201 Humphrey Ave, Marks, MS 38646-1122 | 2017-02-27 |
| Find all providers in zip 38646 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
| 1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
| 1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
| 1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
| 1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
| 1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
| 1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
| 1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AARON E. HENRY COMMUNITY HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.