Christ Community Health Services Inc | |
2400 Poplar Ave Memphis TN 38112-3213 | |
(901) 260-8500 | |
Not Available |
Full Name | Christ Community Health Services Inc |
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Speciality | Clinic/Center |
Location | 2400 Poplar Ave, Memphis, Tennessee |
Authorized Official Name and Position | Marie Link-cannon (DIRECTOR) |
Authorized Official Contact | 9012608516 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christ Community Health Services Inc 2595 Central Ave Memphis TN 38104-5905 Ph: (901) 260-8500 | Christ Community Health Services Inc 2400 Poplar Ave Memphis TN 38112-3213 Ph: (901) 260-8500 |
NPI Number | 1770863557 |
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Provider Enumeration Date | 08/24/2011 |
Last Update Date | 10/17/2013 |
Medicare PECOS PAC ID | 3870402084 |
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Medicare Enrollment ID | O20131112001790 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770863557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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