Christ Community Health Services Inc

LBN: Christ Community Health Services Inc
Christ Community Health Services Inc is an health care organization with primary practice located at 2861 Broad Avenue Christ Community Health Services,Inc, Memphis TN 38112. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Christ Community Health Services Inc can be contacted via phone (901) 260-8450, or through Waller, Burt via phone (901) 260-8551.

Contact Information

Primary practice address
2861 Broad Avenue Christ Community Health Services,Inc Memphis TN 38112
Phone: (901) 260-8450
Fax: (901) 325-6469
Website:
Map and Directions
Authorized official contact:
Name: Waller, Burt
Phone: (901) 260-8551

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1952562696
LBN Legal business name Christ Community Health Services Inc
DBA Doing business as
Authorized official Waller, Burt
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2008
Last updated Jan 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952562696 NPPES
Tennessee Other 3707256 MEDICAID GROUP NUMBER
Tennessee Other 3707256 MEDICAID GROUP NUMBER

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