NPIMap

Organization Active NPI

Central Texas Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
National Provider Identifier
1376041608
Registry record updated Mar 4, 2024
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
3706 S 1St St
Austin, TX 78704-7046
Phone
(512) 978-8080
Fax
(512) 776-0458
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Joy Sloan
Title
Chief Financial Officer
Phone
(512) 978-9811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3706 S 1St St
Austin, TX 78704-7046

Mailing address

2115 Kramer LN
Austin, TX 78758-4013
Phone (512) 978-9015

Other names 1

  • CommUnityCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502002639 TX Part A Provider - Federally Qualified Health Center (FQHC) 5395802151 Practice locations: Austin, TX

Federally qualified health center certification: CCN 451003

Legal name
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Doing business as
COMMUNITYCARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 9, 2018
Last certification
May 9, 2018
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Nov 25, 2003 in TX
Enrollment address
3706 S 1St St
Austin, TX 78704-7046

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Bradley Bryan Price Individual Corporate DirectorBoard Member Jun 28, 2022
Isaac Sanchez Individual Corporate DirectorBoard Member Sep 27, 2022
Sedora Jefferson Individual Corporate DirectorBoard Member Jan 25, 2023
Karen Siles Individual Corporate DirectorBoard Member Mar 1, 2017
Carlos Manuel Gormaz Individual Corporate DirectorBoard Member Nov 17, 2020
Guy Swenson Individual Corporate DirectorBoard Member Jan 22, 2019
Steven Hewitt Garrett Individual Corporate OfficerBoard Member Oct 26, 2021
Debra Kaye Locklear Individual Corporate DirectorBoard Member Apr 20, 2011
Thomas B Coopwood Individual Corporate DirectorBoard Member Oct 17, 2016
Barbara Ann Brooks-Shirley Individual Corporate DirectorBoard Member Jan 20, 2010
Nicholas Yagoda Individual Corporate OfficerInterim Chief Executive Officer Sep 15, 2014
Joy Sloan Individual Corporate OfficerCfo Jun 1, 2019
W-2 Managing EmployeeCfo May 19, 2019
Kimberly Janeral Johnson Individual Corporate OfficerBoard Member Mar 23, 2021

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CommunitycarePflugerville, TX, CCN 671083 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023
CommunitycareAustin, TX, CCN 671103 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 15, 2023

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1376041608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 KRAMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584013",
            "telephone_number": "512-978-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047046",
            "telephone_number": "512-978-8080",
            "fax_number": "512-776-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "512-978-9811"
    },
    "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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.