CHURCH HEALTH CENTER
NPI 1427030907
Clinic/Center - Primary Care in Memphis, TN
NPI Status: Active since November 18, 2005
Contact Information
1200 PEABODY AVE
MEMPHIS, TN
ZIP 38104
Phone: (901) 272-0003
Fax: (901) 725-1435
- Organization
- Clinic/Center
- Primary Care
- Accepts Insurance
- CLIA Number: 44D0313772
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 12-20-2025
About CHURCH HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Church Health Center, a primary care provider established in Memphis, Tennessee operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1427030907 assigned on November 2005. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Church Health Center. The authorized official of this NPI record is Mr. Dan E Mungle (Chief Financial Officer)
- NPI
- 1427030907
- Provider Legal Name
- CHURCH HEALTH CENTER OF MEMPHIS INC
- Other Organization Name
- CHURCH HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1200 PEABODY AVE MEMPHIS, TN 38104
- Location Phone
- (901) 272-0003
- Location Fax
- (901) 725-1435
- Mailing Address
- PO BOX 41527 MEMPHIS, TN 38174
- Mailing Phone
- (901) 272-0003
- Mailing Fax
- (901) 725-1435
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-18-2005
- Last Update Date
- 03-05-2010
- Code Navigator
A primary care provider (PCP) like Church Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License State
- TN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3388963 | OTHER (01) | TN | TENNCARE TLC |
| 3388963 | MEDICAID (05) | TN | |
| 3388963 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0313772
- Facility Type
- Community Clinic
- Certificate Effective Date
- December 21, 2023
- Certificate Expiration Date
- December 20, 2025
- Laboratory Director
- DR. MELISSA BARNHART
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Church Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for CHURCH HEALTH CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 3 | 0 | 9 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 3 | 0 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 3 + 0 + 9 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1427030907 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811979693 | DR. VERONICA M SWANNIGAN MD Individual | Internal Medicine | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 272-0003 |
| 1487637864 | DR. DAVID K JENNINGS MD Individual | Internal Medicine | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 272-0003 |
| 1942283270 | DR. GLENN SCOTT MORRIS MD Individual | Family Medicine | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 272-0003 |
| 1457334633 | MR. WILLIAM S WALLACE FNP Individual | Nurse Practitioner (Family) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 272-0003 |
| 1497830194 | DR. ELLEN BUCHIGNANI M.D. Individual | Surgery | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 272-0003 |
| 1588802003 | MS. SHARON MOORE D.PH Individual | Pharmacist | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 230-3919 |
| 1700468931 | MARISA WHITSETT Individual | Counselor (Professional) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 707-6861 |
| 1821678558 | MARILEE SUZANNE STOVALL Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 707-6861 |
| 1669051751 | BRANDY LEY ROSE Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 707-6861 |
| 1972276426 | SHAWNA BEARDEN-ALLAGAS LCSW Individual | Social Worker (Clinical) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 707-6861 |
| 1083368781 | SANDRA BRAZZELL LMSW Individual | Social Worker | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 567-3554 |
| 1528713823 | EUCHARIA DURU MSW Individual | Social Worker | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 567-3554 |
| 1528713856 | NADIA GIVENS MA Individual | Counselor | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 567-3554 |
| 1952032377 | ALLIANCE HEALTHCARE SERVICES Organization | Pharmacy (Clinic Pharmacy) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 707-6861 |
| 1679208896 | BRANDY HUFFER MA Individual | Counselor (Mental Health) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 567-3554 |
| 1356122386 | JAMICA TAYLOR PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 707-6861 |
| 1821743071 | ARTHUR DAVIS III LPC-MHSP, NCC Individual | Counselor (Mental Health) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 264-5078 |
| 1821651282 | JACOB ANTHONY BEZOLD MD Individual | Internal Medicine (Addiction Medicine) | 1200 PEABODY AVE MEMPHIS, TN 38104 (901) 707-6861 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427030907, enumerated in the NPI registry as an "organization" on November 18, 2005
The provider is located at 1200 Peabody Ave Memphis, Tn 38104 and the phone number is (901) 272-0003
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 44D0313772 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on November 18, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.