CHRIST COMMUNITY HEALTH SERVICES INC (NPI# 1407017650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407017650 |
| Entity Type | Organization |
| Organization Name | CHRIST COMMUNITY HEALTH SERVICES INC |
| Practice Address |
2569 Douglass Ave Christ Community Health Services, Inc Memphis TN 38114-2532 |
| Mailing Address |
2595 Central Ave Christ Community Health Services, Inc Memphis TN 38104-5905 |
| Practice Telephone | 9012716200 |
| Practice Fax Number | 9012716249 |
| Mailing Telephone | 9012608551 |
| Mailing Fax Number | 9012608590 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAID GROUP NUMBER | 3707256 | 01 |
| TN | MEDICARE 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 |
| 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 |
| 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 |
| 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 |
2569 DOUGLASS AVE CHRIST COMMUNITY HEALTH SERVICES, INC |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38114-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750391116 | Angie Jean Childers | Family Medicine | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2006-08-09 |
| 1538778014 | Britney Richardson Thomas | Nurse Practitioner | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2020-07-30 |
| 1801439229 | Cynthia L James | Nurse Practitioner | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2019-10-18 |
| 1093280661 | Bailey Marie Monarch | Nurse Practitioner | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2018-10-09 |
| 1649631573 | John Epting | Family Medicine | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2016-03-20 |
| 1659761609 | Kelly N Scott | Nurse Practitioner | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2015-01-29 |
| 1548681430 | Alice Hannifin | Nurse Practitioner | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2013-12-19 |
| 1558797613 | Christ Community Health Services Inc | Pharmacy | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2013-09-20 |
| 1427395888 | Ernest Witherspoon | Pharmacist | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2013-01-04 |
| 1225320047 | Zechary Craig Smith | Family Medicine | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2011-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131037 | Cassandra Jean Cowans | Technician | 3106 Harris Ave, Memphis, TN 38114 | 2019-12-18 |
| 1750871406 | Alexander Scott LLC | Non-emergency Medical Transport (VAN) | 2150 Dunn Ave, Memphis, TN 38114 | 2018-05-17 |
| 1336416718 | Emmanuel Medical Services LLC | Ambulance | 2510 Lamar Ave., Memphis, TN 38114 | 2011-11-29 |
| 1487893517 | Erika B Carroll | Registered Nurse | 2569 Douglass Avenue, Christ Community Health Services Inc, Memphis, TN 38114 | 2009-02-12 |
| 1023256393 | Hickory Hill Dental Care | Dentist | 1952 Lamar Avenue, Memphis, TN 38114 | 2009-01-26 |
| 1619076676 | Toya Pinkston Dawson | Dentist | 2348 Park Avenue, Memphis, TN 38114 | 2006-09-22 |
| 1912009077 | Temple of Blessings Deliverance Outreach Ministries Inc. | Non-emergency Medical Transport (VAN) | 1557 David Street, Memphis, TN 38114 | 2006-09-01 |
| 1811015266 | Charles L Lewis | Optometrist | 1399 Airways Blvd, Suite 1, Memphis, TN 38114 | 2007-03-26 |
| 1760440648 | Beverly J Williams-cleaves | Internal Medicine | 2829 Lamar Ave, Memphis, TN 38114 | 2006-05-02 |
| 1265564454 | Joshua's House Center | Counselor | 1656 Lamar Ave, Memphis, TN 38114-1642 | 2007-03-12 |
| Find all providers in zip 38114 | ||||
| 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 |
| 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 |
| 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.