Church Health Center

LBN: Church Health Center Of Memphis Inc
Church Health Center is an health care organization with primary practice located at 1200 Peabody Ave , Memphis TN 38104-4506. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Church Health Center Of Memphis Inc can be contacted via phone (901) 272-0003, or through Mungle, Dan E via phone (901) 272-0003.

Contact Information

Primary practice address
1200 Peabody Ave Memphis TN 38104-4506
Phone: (901) 272-0003
Fax: (901) 725-1435
Website:
Map and Directions
Authorized official contact:
Name: Mungle, Dan E
Phone: (901) 272-0003

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Tennessee

Profile Details

NPI number 1427030907
LBN Legal business name Church Health Center Of Memphis Inc
DBA Doing business as Church Health Center
Authorized official Mungle, Dan E
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Mar 5th, 2010 - about 15 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 1427030907 NPPES
Tennessee Other 3388963 TENNCARE TLC
Tennessee MEDICAID 3388963 TENNCARE TLC

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