Aaron E. Henry Community Health Services Center, Inc
NPI 1134868672ActiveOrganization· Pediatrics· Clarksdale, MS
Pediatrics in Clarksdale, Mississippi, registered in NPPES in June 2022, part of Aaron E. Henry Community Health Services Center, Inc. The authorized official on file is Candace L. Fondren, Revenue Cycle Manager. Enrolled in Medicare as part a provider - federally qualified health center (fqhc).
Overview
| NPI | 1134868672 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Aaron E. Henry Community Health Services Center, Inc |
| NPI issued | Jun 2, 2022 |
| Last updated in NPPES | Jun 2, 2022 |
| Certified by provider | Jun 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Federally Qualified Health Center (FQHC) (MS) |
|---|
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