CHRIST COMMUNITY HEALTH SERVICES, INC. (NPI# 1750926549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750926549 |
| Entity Type | Organization |
| Organization Name | CHRIST COMMUNITY HEALTH SERVICES, INC. |
| Practice Address |
655 Lexington Ave Jackson TN 38301-5075 |
| Mailing Address |
2595 Central Ave Memphis TN 38104-5905 |
| Practice Telephone | 9018423160 |
| Practice Fax Number | 9018422360 |
| Mailing Telephone | 9018423160 |
| Mailing Fax Number | 9018422360 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | SHANTELLE LEATHERWOOD (CEO) |
| Authorized Official Telephone | 9018423160 |
| 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 |
|---|---|---|---|---|
| 1730707621 | Christ Community Health Services, Inc. | Clinic/Center | 3206 Poplar Ave, Memphis, TN 38111-3502 | 2020-07-08 |
| 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 |
| Street Address |
655 LEXINGTON AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275564866 | Vernessa Lynn Davis-tharpe | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-07-05 |
| 1609393768 | Chelsea Noel Schmidt | Nurse Practitioner | 655 Lexington Ave, Jackson, TN 38301-5075 | 2017-08-29 |
| 1295098895 | Arrie Beth Edwards | Pharmacist | 655 Lexington Ave, Jackson, TN 38301-5075 | 2012-06-19 |
| 1740594217 | Faith Health Center | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2010-07-27 |
| 1538494653 | West Tennessee Medical Group Inc | Durable Medical Equipment & Medical Supplies | 655 Lexington Ave, Jackson, TN 38301-5075 | 2009-10-07 |
| 1851509772 | Jennifer Lauren Tucker | Pharmacist | 655 Lexington Ave, Jackson, TN 38301-5075 | 2007-05-21 |
| 1790820785 | East Jackson Family Pharmacy | Pharmacist | 655 Lexington Ave, Attn.pharmacy, Jackson, TN 38301-5075 | 2007-02-20 |
| 1073683884 | Jackson Madison County General Hospital | Pharmacy | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-11-09 |
| 1346335981 | David Larsen | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-10-03 |
| 1417972290 | Jackson Madison County General Hospital | Clinic/Center | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| 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 |
|---|---|---|---|---|
| 1689047292 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 3930 Skyview Dr, Jackson, MS 39213-5318 | 2015-11-04 |
| 1134592777 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 415 Claiborne Ave, Jackson, MS 39209-5321 | 2015-11-04 |
| 1588088025 | Southside Medical Center, Inc. | Clinic/Center | 176 Lyons St, Jackson, GA 30233-2134 | 2014-02-04 |
| 1326328311 | Rural Health Services, Inc. | Clinic/Center | 210 Atomic Rd, Jackson, SC 29831-3409 | 2011-08-22 |
| 1427377266 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 350 Woodrow Wilson Blvd, Jackson, MS 39213-4454 | 2010-05-19 |
| 1376732313 | Central Mississippi Civic Improvement Association | Clinic/Center | 1716 Isable St, Jackson, MS 39204-2352 | 2007-10-16 |
| 1447448667 | Central Mississippi Civic Improvement Association | Clinic/Center | 2185 Fortune St, Jackson, MS 39204-2333 | 2007-10-12 |
| 1205021946 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 327 S Gallatin St, Jackson, MS 39203-3514 | 2007-09-06 |
| 1598893547 | Rural Health Group, Inc. | Clinic/Center | 9409 Nc Hwy 305, Jackson, NC 27845-0594 | 2007-03-01 |
| 1023100955 | Community Action Committee of Pike County | Clinic/Center | 14590 State Route 93, Jackson, OH 45640-8977 | 2006-09-28 |
| Find all providers in JACKSON | ||||
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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.