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General NPI Number Information
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NPI Number | 1053572206
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Entity Type | Organization
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Legal Business Name | CHRIST COMMUNITY HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 969 FRAYSER BLVD
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City | MEMPHIS
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State | TN
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Zip | 38127-5977
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Country | US
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Telephone | 901-260-8400
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Fax | 901-260-8449
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Provider Business Mailing Address
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Address Line | 2670 UNION AVENUE EXT STE 1000
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City | MEMPHIS
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State | TN
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Zip | 38112-4416
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Country | US
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Telephone | 901-842-3160
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Fax | 901-260-8598
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Authorized Official
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Title or Position | CEO
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Name | MR. TRACY MCDANIEL
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Credential |
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Telephone | 901-842-3160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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