CHRIST COMMUNITY HEALTH SERVICES INC (NPI# 1053572206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053572206 |
| Entity Type | Organization |
| Organization Name | CHRIST COMMUNITY HEALTH SERVICES INC |
| Practice Address |
969 Frayser Blvd Memphis TN 38127-5977 |
| Mailing Address |
2595 Central Ave Memphis TN 38104-5905 |
| Practice Telephone | 9012608400 |
| Practice Fax Number | 9012608449 |
| Mailing Telephone | 9012608551 |
| Mailing Fax Number | 9012608598 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | MR. PAUL MAKRIS (CFO) |
| Authorized Official Telephone | 9012608500 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAID GROUP NUMBER | 3707256 | 01 |
| TN | MEDICARE GROUP NUMBER | 3707256 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053613851 | Christ Community Health Services Inc | Pharmacy | 5366 Winchester Rd, 5366 Mendenhall Mall, Memphis, TN 38115-4565 | 2010-11-30 |
| 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 |
| 1356749915 | Christ Community Health Services Inc | Pharmacy | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2014-12-15 |
| 1558797613 | Christ Community Health Services Inc | Pharmacy | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2013-09-20 |
| 1770863557 | Christ Community Health Services Inc | Clinic/Center | 2400 Poplar Ave, Memphis, TN 38112-3213 | 2011-08-24 |
| 1407017650 | Christ Community Health Services Inc | Clinic/Center | 2569 Douglass Ave, Christ Community Health Services, Inc, Memphis, TN 38114-2532 | 2008-06-20 |
| 1891837290 | Christ Community Health Services Inc | Pharmacy | 2861 Broad Ave, Memphis, TN 38112-2903 | 2007-02-13 |
| 1982686614 | Christ Community Health Services Inc | Clinic/Center | 3362 S 3rd St, Memphis, TN 38109-2944 | 2005-11-17 |
| Street Address |
969 FRAYSER BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127-5977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149558 | Richard A Nelson | Emergency Medicine | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2005-07-29 |
| 1881223733 | Candace Crane | Nurse Practitioner | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2020-04-03 |
| 1124679691 | Tiffany Denise Ables | Dietitian, Registered | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2019-09-25 |
| 1083068233 | Bethany Lazear | Pharmacist | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2016-04-13 |
| 1932567641 | Monique Rene' Trice | Dentist | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2016-02-09 |
| 1700277233 | Alicia Barber | Nurse Practitioner | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2015-02-05 |
| 1356749915 | Christ Community Health Services Inc | Pharmacy | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2014-12-15 |
| 1891115945 | Brian Kenneth Wong | Internal Medicine | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2014-04-16 |
| 1740546191 | Lindsay Green | Family Medicine | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2012-04-10 |
| 1164608519 | Benjamin Lau Andrews | Internal Medicine | 969 Frayser Blvd, Suite 200, Memphis, TN 38127-5977 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
| Find all providers in zip 38127 | ||||
| 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 |
| 1003442112 | Christ Commuity Health Services Inc | Clinic/Center | 3360 S 3rd St, Memphis, TN 38109-2944 | 2020-03-20 |
| 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 |
| 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.