Organization
CHRIST COMMUNITY HEALTH SERVICES INC
Active
Other names
CHRIST COMMUNITY HEALTH SVCS INC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MCDANIEL (CEO)
(901) 842-3160
Entity
Organization
Contact information
Practice address
3362 S 3RD ST, MEMPHIS, TN 38109-2944
(901) 271-6300
(901) 271-6399
Mailing address
2670 UNION AVENUE EXT STE 1000, MEMPHIS, TN 38112-4416
(901) 842-3160
(901) 260-8598
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3707256
—
TN
01
—
4437845
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/17/2005
Last updated
12/06/2024
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