NPIMap

Organization Active NPI

People's Community Clinic, Inc.

Doing business as People's Community Clinic Off-Site Clinic at Manor

  • Federally Qualified Health Center (FQHC)
  • Manor, TX
National Provider Identifier
1083019905
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PEOPLE'S COMMUNITY CLINIC, INC.
Doing business as
People's Community Clinic Off-Site Clinic at Manor
Practice address
10335 US Highway 290 E
Manor, TX 78653-4686
Phone
(512) 278-4462
Fax
(512) 278-4017
NPI assigned
Nov 4, 2014
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Matthew Balthazar
Title
Chief Executive Officer
Phone
(512) 684-1721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

10335 US Highway 290 E
Manor, TX 78653-4686

Mailing address

1101 Camino la Costa
Austin, TX 78752-3930
Phone (512) 478-4939

Other names 1

  • People's Community Clinic Off-Site Clinic at Manor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000111 TX Part B Supplier - Clinic/Group Practice 1951337237 Receives reassigned benefits from 72 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Manor, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
People's Community Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

408 W 23rd St
Ste 300
Austin, TX 78705
Phone (512) 735-2110

900 E 30th St
Ste 303
Austin, TX 78705
Phone (512) 474-1043

10335 US Highway 290 E
Manor, TX 78653
Phone (512) 278-4400

10335 US Highway 290 E
Bldg 35
Manor, TX 78653
Phone (512) 478-4939

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1083019905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CAMINO LA COSTA",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523930",
            "telephone_number": "512-478-4939",
            "fax_number": "512-320-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 US HIGHWAY 290 E",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534686",
            "telephone_number": "512-278-4462",
            "fax_number": "512-278-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE'S COMMUNITY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "BALTHAZAR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "512-684-1721"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "People's Community Clinic Off-Site Clinic at Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "People's Community Clinic Off-Site Clinic at Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.