Provider Demographics
NPI:1699922401
Name:CHRIST COMMUNITY HEALTH SERVICES, INC
Entity type:Organization
Organization Name:CHRIST COMMUNITY HEALTH SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-842-3160
Mailing Address - Street 1:2670 UNION AVENUE EXT STE 1000
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-4416
Mailing Address - Country:US
Mailing Address - Phone:901-842-3160
Mailing Address - Fax:901-260-8590
Practice Address - Street 1:1325 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2013
Practice Address - Country:US
Practice Address - Phone:901-701-2530
Practice Address - Fax:901-701-2536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3707256OtherMEDICARE GROUP NUMBER
TN3707256OtherMEDICAID GROUP NUMBER
TN441890Medicare Oscar/Certification