Organization Active NPI

Central Texas Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
National Provider Identifier
1326630229
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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

Updated by the provider on Feb 11, 2021

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)CodeLicenseStatePrimary
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 Doing business as

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 Directory

Locations

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

Sources for this page

Verify at the official NPI Registry.