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CH041714F CHRIST COMMUNITY HEALTH SERVICES INC (Terminated)
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Main Details
Name
CHRIST COMMUNITY HEALTH SERVICES INC
Subdivision Name
CCHS University Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010616
340B ID
CH041714F
Grant Number
H80CS00881
Additional Details
Current Program Status
Terminated
Registration Date
8/9/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/5/2011
Last Recertification Date
3/4/2015
Termination Date
Termination Reason
7/1/2015
Site closure
Contacts
Authorizing Official
Christ Community Health Services
Shantelle Leatherwood, CEO
(901) 842-2393
Primary Contact
Christ Community Health Services, Inc.
Kristina M. Murphy, Director of Pharmacy
(901) 271-6379
Addresses
Street Address
1211 Union Ave STE 200
Memphis, TN 38104-6654
Billing Address
CCHS University Health Center
2595 Central Ave
Memphis, TN 38104-5905
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADMIN CORRECT - FORMERLY 340B ID #FQHCLA142
08/09/2011
April 2025
April 2025
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