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
1	261QF0400X	Federally Qualified Health Center (FQHC)		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598719361
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	:	45202-6418
Country	:	US
Telephone Number	:	513-381-2247
Fax Number	:	513-381-1459

Provider Business Practice Location Address
First Line	:	1712 RACE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-6418
Country	:	US
Telephone Number	:	513-381-2247
Fax Number	:	513-381-1459

Authorized Official
Title or Position	:	CEO
Name	:	TIM VALE
Credential	:
Telephone Number	:	513-381-2247

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	05/27/2026

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Directions to “CHRISTIAN COMMUNITY HEALTH SERVICES ” Practice Location

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