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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952562696 | NPPES |
| Tennessee | Other | 3707256 | MEDICAID GROUP NUMBER |
| Tennessee | Other | 3707256 | MEDICAID GROUP NUMBER |
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