Christ Community Health Services Inc in Memphis - Federally Qualified Health Center (fqhc)

Christ Community Health Services Inc - NPI 1407017650

Christ Community Health Services Inc is a Federally Qualified Health Center (fqhc) in Memphis, Tennessee. Christ Community Health Services Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Christ Community Health Services Inc is 1407017650. The last update date is 2012-01-20.

Christ Community Health Services Inc's current location address is 2569 Douglass Ave, Memphis, Tennessee. You can contact this provider via phone number 9012716200 and fax number 9012716249. The mailing address for Christ Community Health Services Inc is 2569 Douglass Ave, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Christ Community Health Services Inc
Address 2569 Douglass Ave, Memphis, Tennessee
Phone Number 9012716200
Fax Number 9012716249
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Waller Burt
Telephone Number 9012608500

NPI Number Detail

NPI Number 1407017650
Provider Enumeration Date 2008-06-20
Last Updated Date 2012-01-20

Provider Mailing Address Detail

Address 2569 Douglass Ave
City Memphis
State Tennessee (TN)
Post Code 381142532
Phone Number 9012716200
Fax Number 9012716249

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3707256 TN MEDICARE GROUP NUMBER
3707256 TN MEDICAID GROUP NUMBER

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FAQs about Christ Community Health Services Inc

What is the unique 10-digit identification code assigned to Christ Community Health Services Inc by the Centers for Medicare & Medicaid Services?

The Christ Community Health Services Inc has been issued the NPI (National Provider Identifier) 1407017650, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Christ Community Health Services Inc's facilities are situated?

The facilities of Christ Community Health Services Inc are physically located at the following address: 2569 Douglass Ave, Memphis, TN, 381142532.

What is Christ Community Health Services Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Christ Community Health Services Inc is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407017650 to Christ Community Health Services Inc?

The Centers for Medicare & Medicaid Services originally issued the 1407017650 to Christ Community Health Services Inc on 2008-06-20.

When was the information regarding Christ Community Health Services Inc most recently updated?

The details pertaining to the Christ Community Health Services Inc, including its address, specialty, and other relevant information, were last refreshed on 2012-01-20.

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