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NPI Code Detail

MEDICARE: CHRISTIAN COMMUNITY HEALTH SERVICES

MEDICARE: CHRISTIAN COMMUNITY HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1396079109
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN COMMUNITY HEALTH SERVICES
Provider Business Mailing Address
First Line : 1712 RACE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-6814
Country : US
Telephone Number : 513-381-2247
Fax Number : 513-381-2256
Provider Business Practice Location Address
First Line : 2170 ANDERSON FERRY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3328
Country : US
Telephone Number : 513-922-4271
Fax Number : 513-922-3936
Authorized Official
Title or Position : CEO
Name : TIM VALE
Credential :
Telephone Number : 513-381-2247
Provider Enumeration Date : 09/25/2009
Last Update Date : 06/10/2026

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Directions to “CHRISTIAN COMMUNITY HEALTH SERVICES ” Practice Location

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