QUTIMAN COUNTY SCHOOL BASED CLINIC – NPI #1538167564
Clinic/Center

QUTIMAN COUNTY SCHOOL BASED CLINIC is an AHC clinic located in MARKS, MS. NPPES has assigned the NPI number 1538167564 to QUTIMAN COUNTY SCHOOL BASED CLINIC on July 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “QUTIMAN COUNTY SCHOOL BASED CLINIC” 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 01, 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 QUTIMAN COUNTY SCHOOL BASED CLINIC below.

NPI Profile for
AARON E. HENRY COMMUNITY HEALTH

NPI Number
1538167564
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): QUTIMAN COUNTY SCHOOL BASED CLINIC
Primary location
HWY 3 SOUTH
MARKS, MS 38646
Phone: (662) 326-4850 Fax: (662) 326-7339
Mailing address
510 HIGHWAY 322
P O BOX 1216
CLARKSDALE, MS 38614-4717
Phone: (662) 624-4292 Fax: (662) 624-4354
Organization Subpart
No
Authorized Official
AURELIA TAYLOR
CHEIF EXECUTIVE OFFICER
Phone: (662) 624-4292
Updated
Certification Date
Jun 01, 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 QUTIMAN COUNTY SCHOOL BASED CLINIC

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
MEDICAIDMS06071341
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.