| Christ Community Health Services, Inc. | |
|
655 Lexington Ave Jackson TN 38301-5075 | |
| (901) 842-3160 | |
| (901) 842-2360 |
| Full Name | Christ Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 655 Lexington Ave, Jackson, Tennessee |
| Authorized Official Name and Position | Shantelle Leatherwood (CEO) |
| Authorized Official Contact | 9018423160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christ Community Health Services, Inc. 2595 Central Ave Memphis TN 38104-5905 Ph: (901) 842-3160 | Christ Community Health Services, Inc. 655 Lexington Ave Jackson TN 38301-5075 Ph: (901) 842-3160 |
| NPI Number | 1750926549 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 11/15/2019 |
| Medicare PECOS PAC ID | 3870402084 |
|---|---|
| Medicare Enrollment ID | O20200115002892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750926549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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