Organization
CHRIST COMMUNITY HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MCDANIEL (CEO)
(901) 842-3160
Entity
Organization
Contact information
Practice address
1211 UNION AVE, SUITE 200, MEMPHIS, TN 38104-6638
(901) 271-0330
(901) 271-0399
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(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
04/01/2011
Last updated
12/06/2024
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