| Christ Community Health Svcs Inc | |
|
3362 S 3rd St Memphis TN 38109-2944 | |
| (901) 271-6300 | |
| (901) 271-6399 |
| Full Name | Christ Community Health Svcs Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3362 S 3rd St, Memphis, Tennessee |
| Authorized Official Name and Position | Paul Z Makris (CFO) |
| Authorized Official Contact | 9012608500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christ Community Health Svcs Inc 2595 Central Ave Memphis TN 38104-5905 Ph: (901) 260-8500 | Christ Community Health Svcs Inc 3362 S 3rd St Memphis TN 38109-2944 Ph: (901) 271-6300 |
| NPI Number | 1982686614 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 01/18/2019 |
| Medicare PECOS PAC ID | 3870402084 |
|---|---|
| Medicare Enrollment ID | O20030325000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982686614 | NPI | - | NPPES |
| 3707256 | Medicaid | TN | |
| 4437845 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Tennessee) | Primary |
| Provider Name | Jessica Ashlee Mccall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659831592 PECOS PAC ID: 9436484482 Enrollment ID: I20221101000598 |
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