City of Austin

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CITY OF AUSTIN

Practice address

15 Waller St
Austin, TX 78702-5240

Phone

(512) 972-4088

Fax

(512) 972-4086

NPI assigned

Apr 9, 2007

Organization subpart

Yes

Parent organization

CITY OF AUSTINAs reported in NPPES

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

Authorized official

Name

Mr. David B Vliet

Title

Ceo

Phone

(512) 972-5205

Specialties & licenses 1

Addresses

Part of

Northeast Austin Health

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1134242811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WALLER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025240",
            "telephone_number": "512-972-4088",
            "fax_number": "512-972-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WALLER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025240",
            "telephone_number": "512-972-4088",
            "fax_number": "512-972-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF AUSTIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF AUSTIN",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "VLIET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-972-5205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.