Organization Active NPI

Central Texas Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
National Provider Identifier
1972531440
Registry record updated Feb 1, 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
8656A W Highway 71
Ste C
Austin, TX 78735-8078
Phone
(512) 978-9820
Fax
(512) 978-9830
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

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

Addresses

Primary practice location

8656A W Highway 71
Ste C
Austin, TX 78735-8078

Mailing address

PO Box 17366
Austin, TX 78760-7366
Phone (512) 978-9000

Other identifiers 1

IdentifierTypeStateIssuer
2046872-01MedicaidTX

Other names 1

  • CommUnityCare--Oak Hill Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000457 TX Part A Provider - Federally Qualified Health Center (FQHC) 5395802151 Practice locations: Austin, TX

Federally qualified health center certification: CCN 451892

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
CorporationNon-profit
Incorporated
Nov 25, 2003 in TX
Enrollment address
8656 A Hwy 71 West
Suite C
Austin, TX 78735-8004

National Provider Directory

National Provider Directory

Member of 1

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

Locations

8656 W Highway 71
Bldg A
Austin, TX 78735
Phone (512) 854-2170

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
Jaeson T Fournier Individual Corporate OfficerPresident & Ceo Jun 5, 2017
W-2 Managing EmployeeCeo Jun 5, 2017
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 OfficerBoard Member Jan 20, 2010
Joy Sloan Individual Corporate OfficerCfo Jun 1, 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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1972531440",
    "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": "8656A W HIGHWAY 71",
            "address_2": "STE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358078",
            "telephone_number": "512-978-9820",
            "fax_number": "512-978-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "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": "2046872-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommUnityCare--Oak Hill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.