| Aaron E. Henry Community Health Services Center, Inc | |
|
103 Main St Como MS 38619 | |
| (662) 526-9922 | |
| (662) 526-9463 |
| Full Name | Aaron E. Henry Community Health Services Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 103 Main St, Como, Mississippi |
| Authorized Official Name and Position | Aurelia Taylor (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6626244292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron E. Henry Community Health Services Center, Inc 510 Highway 322 P O Box 1216 Clarksdale MS 38614-4717 Ph: (662) 624-2504 | Aaron E. Henry Community Health Services Center, Inc 103 Main St Como MS 38619 Ph: (662) 526-9922 |
| NPI Number | 1881692929 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881692929 | NPI | - | NPPES |
| 09015068 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |