| NPI | 1053572206 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-06-20 |
| Last Updated | 2024-12-06 |
| Authorized Official | Tracy Mcdaniel CEO Phone: 9018423160 |
| Mailing Address | 2670 Union Avenue Ext Ste 1000 Memphis, TN 38112-4416 United States Phone: (901) 842-3160 | Fax: (901) 260-8598 📍 View Map |
| Primary Practice Address | 969 Frayser Blvd Memphis, TN 38127-5977 United States Phone: (901) 260-8400 | Fax: (901) 260-8449 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TN | 3707256 | Medicaid Group Number |
| Other (non-Medicare) | TN | 3707256 | Medicare Group Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | — | — |
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About NPI 1053572206
Christ Community Health Services Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053572206. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Memphis, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-06-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053572206?
NPI 1053572206 belongs to Christ Community Health Services Inc, a Clinic/Center, Federally Qualified Health Center (FQHC) in Memphis, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053572206 active?
The current status of NPI 1053572206 in the NPPES registry is Active. The record was last updated on 2024-12-06.
What specialty is NPI 1053572206?
NPI 1053572206 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053572206?
You can verify NPI 1053572206 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053572206?
The primary practice address on file for NPI 1053572206 is 969 Frayser Blvd, Memphis, TN 38127-5977. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053572206 issued?
NPI 1053572206 was first issued (enumerated) on 2008-06-20. The NPPES record was last updated on 2024-12-06.
Practice Location Map
Christ Community Health Services Inc is located at 969 Frayser Blvd, Memphis, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Christ Community Health Services Inc. All records sourced from the CMS NPPES registry.