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CH041714G Christ Community Health Services, Inc. (Active)
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Main Details
Name
Christ Community Health Services, Inc.
Subdivision Name
MOBILE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002786
340B ID
CH041714G
Grant Number
H80CS00881
Additional Details
Current Program Status
Active
Registration Date
4/3/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
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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4/6/12 - Reviewed registration. 4/18/12 Processed registration and forwarded to IS.
04/18/2012
4/6/12 - Reviewed registration.
04/06/2012
April 2025
April 2025
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