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
2861 BROAD AVENUE, CHRIST COMMUNITY HEALTH SERVICES,INC, MEMPHIS, TN 38112
(901) 260-8450
(901) 325-6469
Mailing address
2670 UNION AVENUE EXT STE 1000, MEMPHIS, TN 38112-4416
(901) 842-3160
(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
MEDICARE GROUP NUMBER
TN
Enumeration date
06/24/2008
Last updated
12/06/2024
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