NPIMap

Organization Active NPI

Aaron E. Henry Community Health Services Center, Inc

Doing business as Aurelia Jones - Taylor Administrative Complex

  • Optometrist
  • Clarksdale, MS
National Provider Identifier
1396400958
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Doing business as
Aurelia Jones - Taylor Administrative Complex
Practice address
600 Ohio Ave
Clarksdale, MS 38614-6020
Phone
(662) 624-4292
NPI assigned
Nov 8, 2021
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Candace L Fondren
Title
Revenue Cycle Manager
Phone
(662) 624-4292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

600 Ohio Ave
Clarksdale, MS 38614-6020

Mailing address

PO Box 1216
Clarksdale, MS 38614-1216
Phone (662) 624-4292

Other names 1

  • Aurelia Jones - Taylor Administrative Complex Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Clarksdale Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Aaron E Henry Community Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1396400958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1216",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386141216",
            "telephone_number": "662-624-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OHIO AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146020",
            "telephone_number": "662-624-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "FONDREN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "662-624-4292"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clarksdale",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 Ohio Ave",
            "city": "Clarksdale",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386146020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aurelia Jones - Taylor Administrative Complex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.