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CH041714A Christ Community Health Services, Inc. (Active)
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Main Details
Name
Christ Community Health Services, Inc.
Subdivision Name
BROAD AVENUE HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003914
340B ID
CH041714A
Grant Number
H80CS00881
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
6/8/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Christ Community Health Services
Tracy McDaniel, CEO
(901) 842-2393
Primary Contact
Christ Community Health Services, Inc.
Suong Mai Le, 340B Program Manager
(901) 842-1936
Addresses
Street Address
2861 BROAD AVE
MEMPHIS, TN 38112-2903
Billing Address
Christ Community Health Services
2670 Union Avenue Extended, Suite 1000
Memphis, TN 38112
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADMIN CORRECT - WAS 340B ID #FQHCLA142A
08/24/2010
April 2025
April 2025
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