CHRIST COMMUITY HEALTH SERVICES INC (NPI# 1003442112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003442112 |
| Entity Type | Organization |
| Organization Name | CHRIST COMMUITY HEALTH SERVICES INC |
| Practice Address |
3360 S 3rd St Memphis TN 38109-2944 |
| Mailing Address |
2595 Central Ave Memphis TN 38104-5905 |
| Practice Telephone | 9018423160 |
| Practice Fax Number | 9018422360 |
| Mailing Telephone | 9018421894 |
| Mailing Fax Number | 9018421973 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | SHANTELLE LEATHERWOOD (CEO) |
| Authorized Official Telephone | 9012608541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629213475 | Christ Commuity Health Services Inc | Clinic/Center | 2595 Central Ave, Memphis, TN 38104-5905 | 2008-12-09 |
| 1730651373 | Christ Commuity Health Services Inc | Pharmacy | 3362 S 3rd St, Memphis, TN 38109-2944 | 2018-12-20 |
| Street Address |
3360 S 3RD ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38109-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937791 | Phyllis Person | Technician | 292 Modder Ave, Memphis, TN 38109 | 2019-11-26 |
| 1598233900 | Catherine Denise Baines | Technician | 697 Whitehave Lane, Memphis, TN 38109 | 2018-11-05 |
| 1821597808 | Patricia Ann Brookins | Occupational Therapy Assistant | 922 Leacrest Ave, Memphis, TN 38109 | 2018-02-06 |
| 1922371657 | Rhonda Boutte | Pharmacist | 4155 Highway 61 South, Memphis, TN 38109 | 2012-02-10 |
| 1255616736 | Kandace Diggins | Pharmacist | 4155 Highway 61 S, Memphis, TN 38109 | 2011-10-17 |
| 1700161296 | Keith D Rubrum | Pharmacist | 4155 Hwy 61 S, Memphis, TN 38109 | 2011-10-15 |
| 1487940011 | Count Own Transportion | Non-emergency Medical Transport (VAN) | 4093 Ponca St, Memphis, TN 38109 | 2011-06-22 |
| 1083876502 | Patrickgrapevine | Community/Behavioral Health | 1833 South Third Street, Memphis, TN 38109 | 2008-06-26 |
| 1790837797 | 2001 Vision Center | Optometrist | 1930 South Third St, Memphis, TN 38109 | 2007-01-18 |
| 1750499984 | Jeff A. Beekhuizen | Family Medicine | 3362 S. Third Street, Christ Community Health Services Inc, Memphis, TN 38109 | 2006-08-28 |
| Find all providers in zip 38109 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525809 | Christ Community Health Services, Inc | Clinic/Center | 4350 Chuck Ave, Memphis, TN 38118-4076 | 2020-07-08 |
| 1730707621 | Christ Community Health Services, Inc. | Clinic/Center | 3206 Poplar Ave, Memphis, TN 38111-3502 | 2020-07-08 |
| 1659745354 | Memphis Health Center, Inc. | Clinic/Center | 4250 Faronia Rd Ste 2a, Memphis, TN 38116-6527 | 2015-11-18 |
| 1629213475 | Christ Commuity Health Services Inc | Clinic/Center | 2595 Central Ave, Memphis, TN 38104-5905 | 2008-12-09 |
| 1609030832 | Christ Community Health Services Inc | Clinic/Center | 2953 Broad Ave, Memphis, TN 38112-2957 | 2008-07-16 |
| 1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
| 1144236902 | Memphis Health Center, Inc. | Clinic/Center | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-08-01 |
| 1962020446 | Christ Community Health Services, Inc. | Clinic/Center | 4480 Westmont Rd, Memphis, TN 38109-5646 | 2020-07-10 |
| 1922582816 | Christ Community Health Services, Inc. | Clinic/Center | 1325 Jefferson Ave, Memphis, TN 38104-2013 | 2018-09-18 |
| 1942788567 | Christ Community Health Services, Inc. | Clinic/Center | 2953 Broad Ave, Memphis, TN 38112-2957 | 2018-08-06 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.