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

825 E Rundberg LN
Ste. B-1
Austin, TX 78753-4808

Phone

(512) 978-9600

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Joy Sloan

Title

Cfo

Phone

(512) 978-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CommUnityCare--Rundberg Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Federally qualified health center certification: CCN 671915

Legal name

CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Doing business as

COMMUNITYCARE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 21, 2009

Last certification

Aug 21, 2009

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Nov 25, 2003 in TX

Enrollment address

825 E Rundberg LN
Ste B1
Austin, TX 78753-4860

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": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1376784108",
    "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": "825 E RUNDBERG LN",
            "address_2": "STE. B-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534808",
            "telephone_number": "512-978-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JOY",
        "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": "2079923-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommUnityCare--Rundberg",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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

• 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 Jan 24, 2024; 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.