OrganizationActive
Aaron E. Henry Community Health
NPI 1104574847 · Federally Qualified Health Center (FQHC) · Clarksdale, MS
Provider details
- NPI number
- 1104574847
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Aaron E. Henry Community Health
- Authorized official
- Candace Fondren, Revenue Cycle Manager
Practice location
600 Ohio Ave
Clarksdale, MS 38614-6020
Phone: (662) 624-4292
Fax: (662) 351-3303
Mailing address
Po Box 1216
Clarksdale, MS 38614-1216
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2022-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.