Aaron E Henry Mobile Medical Unit #3 | |
510 Highway 322 Clarksdale MS 38614-4717 | |
(662) 624-4292 | |
(662) 624-4354 |
Full Name | Aaron E Henry Mobile Medical Unit #3 |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 510 Highway 322, Clarksdale, Mississippi |
Authorized Official Name and Position | Aurelia Jones-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 Mobile Medical Unit #3 510 Highway 322 P O Box 1216 Clarksdale MS 38614-4717 Ph: (662) 624-4292 | Aaron E Henry Mobile Medical Unit #3 510 Highway 322 Clarksdale MS 38614-4717 Ph: (662) 624-4292 |
NPI Number | 1063756716 |
---|---|
Provider Enumeration Date | 11/19/2012 |
Last Update Date | 06/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063756716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Family First Clinic Of Clarksdale, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 Lee Dr, Suite 13, Clarksdale, MS 38614 Phone: 901-737-1992 Fax: 901-309-8784 | |
Medical Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Highway 322, Clarksdale, MS 38614 Phone: 662-624-4292 Fax: 662-624-4354 |