Active NPI
Central Texas Community Health Centers
- Federally Qualified Health Center (FQHC)
- Austin, TX
National Provider Identifier
1326630229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CENTRAL TEXAS COMMUNITY HEALTH CENTERS
- Practice address
- 2711 S Interstate 35
Austin, TX 78741-5514 - Phone
- (512) 978-5831
- Fax
- (512) 776-0462
- NPI assigned
- Feb 11, 2021
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
2711 S Interstate 35
Austin, TX 78741-5514
Mailing address
PO Box 17366
Austin, TX 78760-7366
Phone (512) 978-9427
Other names 1
- CommUnityCare at Rodeway Inn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Federally qualified health center certification: CCN 451145
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CENTRAL TEXAS COMMUNITY HEALTH CENTERS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 8, 2021
- Last certification
- Apr 8, 2021
- Ownership / control type
- For profit – corporation
- Facility address
- 2711 S Interstate 35
Austin, TX 78741
National Provider Directory
National Provider DirectoryLocations
2711 S Interstate 35
Austin, TX 78741
Phone (512) 978-5831
NPI Registry JSON
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": "1326630229",
"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": "2711 S INTERSTATE 35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787415514",
"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 Rodeway Inn",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
- 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
Sources for this page
- 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.