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

15822 Foothill Farms Loop
Pflugerville, TX 78660-3422

Phone

(512) 978-9840

Fax

(512) 978-9860

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Carolyn Konecny

Title

Cfo

Phone

(512) 978-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CommUnityCare--Pflugerville Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Federally qualified health center certification: CCN 451890

Legal name

CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Doing business as

COMMUNITYCARE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 1, 1994

Last certification

Jan 1, 1994

Ownership / control type

Non-profit – other

Most recent change of ownership

Mar 1, 2009 (1 total)

Organization structure

OtherNon-profit

Incorporated

Nov 25, 2003 in TX

Enrollment address

15822 Foothill Farms Loop
Pflugerville, TX 78660-3422

Locations

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.

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1265460737",
    "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": "15822 FOOTHILL FARMS LOOP",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603422",
            "telephone_number": "512-978-9840",
            "fax_number": "512-978-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "KONECNY",
        "authorized_official_first_name": "CAROLYN",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2046856-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommUnityCare--Pflugerville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Federally Qualified Health Center (FQHC) in Pflugerville, TX
• Providers in Pflugerville, 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 Aug 13, 2015; 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.