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Organization

CHRIST COMMUNITY HEALTH SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TRACY MCDANIEL (CEO)
(901) 842-3160
Entity
Organization

Contact information

Practice address
5366 MENDENHALL MALL, MEMPHIS, TN 38115-4505
(901) 271-6100
(901) 271-6199
Mailing address
2670 UNION AVENUE EXT STE 1000, MEMPHIS, TN 38112-4416
(901) 260-8551
(901) 260-8590

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3707256
MEDICAID GROUP NUMBER
TN
Enumeration date
03/03/2010
Last updated
05/23/2025
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