Organization Active NPI

Central Texas Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
National Provider Identifier
1821026394
Registry record updated Nov 12, 2009
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
1401 Grove Blvd
Safe Place Shelter
Austin, TX 78741-3458
Phone
(512) 267-7233
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Mr. David B Vliet
Title
Ceo
Phone
(512) 978-9050

Specialties & licenses 1

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

Addresses

Primary practice location

1401 Grove Blvd
Safe Place Shelter
Austin, TX 78741-3458

Mailing address

15 Waller St
RBJ Health Center
Austin, TX 78702-5240
Phone (512) 978-9074

Other identifiers 1

IdentifierTypeStateIssuer
451973OtherMEDICARE A

Other names 1

  • CommUnityCare--Safe Place Shelter Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1821026394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WALLER ST",
            "address_2": "RBJ HEALTH CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025240",
            "telephone_number": "512-978-9074",
            "fax_number": "512-978-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GROVE BLVD",
            "address_2": "SAFE PLACE SHELTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413458",
            "telephone_number": "512-267-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "VLIET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-978-9050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A",
            "identifier": "451973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommUnityCare--Safe Place Shelter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.