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

780 US Highway 183S
Austin, TX 78741-3606

Phone

(512) 978-5831

Fax

(512) 776-0462

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Middleton, CPCS

Title

Managed Care Contract Manager

Phone

(512) 978-9427

Specialties & licenses 1

Addresses

Other names 1

• CommUnityCare at Camp Esperanza Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Federally qualified health center certification: CCN 451149

Legal name

CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Doing business as

COMMUNITYCARE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 5, 2021

Last certification

Apr 5, 2021

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Nov 25, 2003 in TX

Enrollment address

780 US Highway 183 S
Austin, TX 78741-3606

All disclosed owners & managing parties 10

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.

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1124610027",
    "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": "512-978-9427",
            "fax_number": "512-901-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 US HIGHWAY 183S",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413606",
            "telephone_number": "512-978-5831",
            "fax_number": "512-776-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGED CARE CONTRACT MANAGER",
        "authorized_official_telephone_number": "512-978-9427",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommUnityCare at Camp Esperanza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Texas Community Health Centers
• Central Texas Community Health Centers
• Central Texas Community Health Centers
• Central Texas Community Health Centers
• Central Texas Community Health Centers
• Central Texas Community Health Centers
• Central Texas Community Health Centers
• Central Texas Community Health Centers
• Central Texas Community Health Centers
• 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 Feb 11, 2021; 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.