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NPI Code Detail

MEDICARE: CHRIST COMMUNITY HEALTH SERVICES, INC.

MEDICARE: CHRIST COMMUNITY HEALTH SERVICES, INC.
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 : 1730707621
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRIST COMMUNITY HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 2670 UNION AVENUE EXT STE 1000
Second Line :
City : MEMPHIS
State : TN
Zip : 38112-4416
Country : US
Telephone Number : 901-842-3160
Fax Number : 901-842-2360
Provider Business Practice Location Address
First Line : 3206 POPLAR AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38111-3502
Country : US
Telephone Number : 901-842-3160
Fax Number : 901-842-2360
Authorized Official
Title or Position : CEO
Name : TRACY MCDANIEL
Credential :
Telephone Number : 901-842-3160
Provider Enumeration Date : 07/08/2020
Last Update Date : 12/06/2024

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Directions to “CHRIST COMMUNITY HEALTH SERVICES, INC. ” Practice Location

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