Central Texas Community Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Practice address

1221 W Ben White Blvd
Ste.112B
Austin, TX 78704-6888

Phone

(512) 978-9700

Fax

(512) 978-9701

NPI assigned

Sep 10, 2010

Last updated

Jul 11, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL TEXAS COMMUNITY HEALTH CENTERSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joy Sloan

Title

Cfo

Phone

(512) 978-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CommUnityCare--Ben White Dental Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073820023. Details of each certification follow.

• CCN 451148 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 451148

Legal name

CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Doing business as

COMMUNITYCARE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 23, 2021

Last certification

Apr 23, 2021

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Nov 25, 2003 in TX

Enrollment address

1221 W Ben White Blvd
Austin, TX 78704-7192

Part of

Central Texas Community

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meera Chandrasekaran, D.D.S.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1578703112
  NPD (past)
• Bibby P Mathew, DMD

  • General Practice Dentistry
  • Austin, TX
  • NPI 1053352781
  NPD (past)
• Lorena Ray, D.D.S.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1497160071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1073820023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17366",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787607366",
            "telephone_number": "512-978-9000",
            "fax_number": "512-978-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD",
            "address_2": "STE.112B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046888",
            "telephone_number": "512-978-9700",
            "fax_number": "512-978-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "enumeration_date": "2010-09-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-978-9000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191397-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommUnityCare--Ben White Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Central Texas Caregivers, Inc
• Central Texas Case Management Services, PLLC
• Central Texas Chest Clinic PA
• Central Texas Community Health Centers (CommUnityCare-David Powell Pharmacy)
• Central Texas Community Health Centers
• Central Texas Community Health Centers (CommUnityCare)
• Central Texas Community Health Centers (CommUnityCare)
• Central Texas Community Health Centers (CommUnityCare at Camp Esperanza)
• Central Texas Community Health Centers (CommUnityCare)
• Central Texas Community Health Centers

• Federally Qualified Health Center (FQHC) in Austin, TX
• Providers in Austin, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.