Central Texas Community Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Doing business as

CommUnityCare--Southeast Health & Wellness Center

Practice address

2901 Montopolis Dr
Austin, TX 78741-6411

Phone

(512) 978-9901

Fax

(512) 901-9765

NPI assigned

Jun 30, 2006

Last updated

Mar 5, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL TEXAS COMMUNITY HEALTH CENTERSAs reported in NPPES

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--Southeast Health & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861420382. Details of each certification follow.

• CCN 451885 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 451885

Legal name

CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Doing business as

COMMUNITYCARE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 1, 1994

Last certification

Jan 1, 1994

Ownership / control type

Non-profit – other

Most recent change of ownership

Mar 1, 2009 (1 total)

Organization structure

OtherNon-profit

Incorporated

Nov 25, 2003 in TX

Enrollment address

2901 Montopolis Dr
Austin, TX 78741-6411

Part of

Central Texas Community

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• City of Austin

  dba Austin-Travis County EMS

  • Ambulance
  • Austin, TX
  • NPI 1295704732

  Member Of

  NPD member

All disclosed owners & managing parties 12

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1861420382",
    "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": "2901 MONTOPOLIS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416411",
            "telephone_number": "512-978-9901",
            "fax_number": "512-901-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "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": "2046757-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommUnityCare--Southeast Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Texas Community Health Centers
• Central Texas Community Health Centers (CommUnityCare)
• Central Texas Community Health Centers (CommUnityCare-ATCIC-Dove Springs)
• 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 (CommUnityCare)

• 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 Mar 5, 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.