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).
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 |
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 | TN MEDICAID 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 |
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 |
Street Address |
2953 BROAD AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38112-2957 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 38112 |
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 |
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.