MEDICAL MOBILE UNIT – NPI #1366440331
Clinic/Center

MEDICAL MOBILE UNIT is an AHC clinic located in CLARKSDALE, MS. NPPES has assigned the NPI number 1366440331 to MEDICAL MOBILE UNIT on July 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL MOBILE UNIT” is a dba name, the actual legal business name for this organization is AARON E HENRY COMMUNITY HEALTH. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Jun 02, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL MOBILE UNIT below.

NPI Profile for
AARON E HENRY COMMUNITY HEALTH

NPI Number
1366440331
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AARON E HENRY COMMUNITY HEALTH
Doing Business As (dba): MEDICAL MOBILE UNIT
Primary location
510 HIGHWAY 322
CLARKSDALE, MS 38614-4717
Phone: (662) 624-4292 Fax: (662) 624-4354
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AURELIA TAYLOR
CHEIF EXECUTIVE OFFICER
Phone: (662) 624-4292
Updated
Certification Date
Jun 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEDICAL MOBILE UNIT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS01085372
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.