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 2953 Broad Ave , Memphis TN 38112-2957. 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) 271-6050, or through Waller, Burt via phone (901) 260-8551.

Contact Information

Primary practice address
2953 Broad Ave Memphis TN 38112-2957
Phone: (901) 271-6050
Fax: (901) 271-6099
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 1609030832
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 Jul 16th, 2008
Last updated Feb 9th, 2012 - about 13 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 1609030832 NPPES
Tennessee Other 3707256 TN MEDICAID GROUP NUMBER

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