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CENTRAL TEXAS COMMUNITY HEALTH CENTERS NPI 1598793077


NPI Information

NPI: 1598793077
Provider Name: CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Other Name: COMMUNITYCARE--MANOR

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
600 W CARRIE MANOR ST
MANOR, TX
ZIP 78653
Phone: (512) 978-9780
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CENTRAL TEXAS COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Manor, TX. CENTRAL TEXAS COMMUNITY HEALTH CENTERS NPI is 1598793077. The provider is registered as an organization entity type.
The provider Other Name Is Communitycare--manor.

The provider's business location address is:

600 W CARRIE MANOR ST
MANOR, TX
ZIP 78653-035
Phone: (512) 978-9780
Fax: (512) 978-9781

The provider's authorized official is Kimberly Middleton .
The authorized official title is Managed Care Contract Manager and has the following contact phone number (512) 978-9427.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 2/11/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12046831-01MEDICAIDTEXAS

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: 5/5/2024

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.