CHRIST COMMUNITY HEALTH SERVICES INC


Address: 2953 Broad Ave, Memphis, TN 38112-2957
Phone: 9012716050

CHRIST COMMUNITY HEALTH SERVICES INC (NPI# 1609030832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609030832
Entity Type Organization
Organization Name CHRIST COMMUNITY HEALTH SERVICES INC
Practice Address 2953 Broad Ave
Memphis
TN 38112-2957
Mailing Address 2595 Central Ave
Memphis
TN 38104-5905
Practice Telephone 9012716050
Practice Fax Number 9012716099
Mailing Telephone 9012608551
Mailing Fax Number 9012608590
Enumeration Date 2008-07-16
Last Update Date 2012-02-09
Authorized Official Name BURT WALLER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9012608551
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN TN MEDICAID GROUP NUMBER 3707256 01

Other Provider IDs and Locations

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
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
1053572206 Christ Community Health Services Inc Clinic/Center 969 Frayser Blvd, Memphis, TN 38127-5977 2008-06-20
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

Office Location

Street Address 2953 BROAD AVE
City MEMPHIS
State TN
Zip Code 38112-2957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144853946 Joseph Eric Choi Benson Student in an Organized Health Care Education/Training Program 2953 Broad Ave, Memphis, TN 38112-2957 2020-02-20
1003378779 Yousef Odeh Jefferson Dentist 2953 Broad Ave, Memphis, TN 38112-2957 2019-04-02
1144788977 Mariam George Habib Student in an Organized Health Care Education/Training Program 2953 Broad Ave, Memphis, TN 38112-2957 2019-03-11
1881151413 Erica Robinson Student in an Organized Health Care Education/Training Program 2953 Broad Ave, Memphis, TN 38112-2957 2019-03-01
1942788567 Christ Community Health Services, Inc. Clinic/Center 2953 Broad Ave, Memphis, TN 38112-2957 2018-08-06
1386140218 Catherine Schricker Dentist 2953 Broad Ave, Memphis, TN 38112-2957 2018-03-31
1184156234 William Travis King Dentist 2953 Broad Ave, Memphis, TN 38112 2017-03-29
1760844302 Katherine Musser Dentist 2953 Broad Ave, Memphis, TN 38112-2957 2016-03-23
1275929432 Jennifer Jo Wade Dentist 2953 Broad Ave, Memphis, TN 38112-2957 2015-04-14
1154737070 Jeffrey David Amstutz Dentist 2953 Broad Ave, Memphis, TN 38112-2957 2014-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316427602 Chs Tennessee Medical P C Clinic/Center 2680 Pershing Ave, Memphis, TN 38112 2018-08-16
1457688798 Ethan Martin Langston Counselor 2714 Union Extended, Suite 400, Memphis, TN 38112 2009-11-06
1033345756 Marquita Lachelle Little Counselor 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 2009-06-09
1366689481 Open Hand Trans Non-emergency Medical Transport (VAN) 2600 Poplar Avenue 325, Memphis, TN 38112 2009-01-12
1952562696 Christ Community Health Services Inc Clinic/Center 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 2008-06-24
1013117225 Yolanda Anthony-west Dentist 1045 Mullins Station Road, Memphis, TN 38112 2007-07-25
1083754634 Trillium Womancare LLC Advanced Practice Midwife 2610 Autumn Avenue, Memphis, TN 38112 2007-02-06
1013066596 Health Tech Affiliates Counselor 2670 Union Extended, Suite 610, Memphis, TN 38112 2007-01-10
1730238320 James Matthew Doyle Counselor 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 2007-01-10
1619025087 Nancy Whitman Manire Social Worker 2670 Union Ext, Suite 610, Memphis, TN 38112 2007-01-08
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
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Competitor

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City MEMPHIS
Zip Code 38112

Improve Information

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Dataset Information

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.

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