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CENTRAL TEXAS COMMUNITY HEALTH CENTERS NPI 1376784108


NPI Information

NPI: 1376784108
Provider Name: CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Other Name: COMMUNITYCARE--RUNDBERG

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2168716

Address:
825 E RUNDBERG LN
STE. B-1
AUSTIN, TX
ZIP 78753
Phone: (512) 978-9600
Get Directions

CENTRAL TEXAS COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Austin, TX. CENTRAL TEXAS COMMUNITY HEALTH CENTERS NPI is 1376784108. The provider is registered as an organization entity type.
The provider Other Name Is Communitycare--rundberg.

The provider's business location address is:

825 E RUNDBERG LN
STE. B-1
AUSTIN, TX
ZIP 78753-808
Phone: (512) 978-9600

The provider's authorized official is Joy Sloan .
The authorized official title is Cfo and has the following contact phone number (512) 978-9000.

The CLIA number assigned to this NPI record is 45D2168716 - other - outpatient treatment prog with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2009 and was last updated on 1/24/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12079923-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.