CHRIST COMMUITY HEALTH SERVICES INC (NPI# 1629213475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629213475 |
Entity Type | Organization |
Organization Name | CHRIST COMMUITY HEALTH SERVICES INC |
Practice Address |
2595 Central Ave Memphis TN 38104-5905 |
Mailing Address |
5366 Mendenhall Mall Hickory Hill Health Center Memphis TN 38115 |
Practice Telephone | 9012608551 |
Practice Fax Number | 9012608599 |
Mailing Telephone | 9012608500 |
Mailing Fax Number | 9012608599 |
Enumeration Date | 2008-12-09 |
Last Update Date | 2008-12-09 |
Authorized Official Name | MR. BURT WALLER (EXECUTIVE DIRECTOR) |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003442112 | Christ Commuity Health Services Inc | Clinic/Center | 3360 S 3rd St, Memphis, TN 38109-2944 | 2020-03-20 |
1730651373 | Christ Commuity Health Services Inc | Pharmacy | 3362 S 3rd St, Memphis, TN 38109-2944 | 2018-12-20 |
Street Address |
2595 CENTRAL AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38104-5905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478181 | Julia Park | Social Worker | 2595 Central Ave, Memphis, TN 38104-5905 | 2020-08-17 |
1366094153 | Shuya Bi | Dentist | 2595 Central Ave, Memphis, TN 38104-5905 | 2019-07-11 |
1285908772 | Jennifer Nicole Collins | Dentist | 2595 Central Ave, Memphis, TN 38104-5905 | 2012-02-29 |
1588988604 | Carol W. Baucum | Pharmacist | 2595 Central Ave, Memphis, TN 38104-5905 | 2010-03-18 |
1174767339 | Robbie Jones | Nurse Practitioner | 2595 Central Ave, Christ Community Health Services Inc, Memphis, TN 38104-5905 | 2009-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
Find all providers in zip 38104 |
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 |
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.