Active NPI
Central Texas Community Health Centers
- Federally Qualified Health Center (FQHC)
- Austin, TX
National Provider Identifier
1982632477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- CENTRAL TEXAS COMMUNITY HEALTH CENTERS
- Practice address
- 211 Comal St
Austin, TX 78702-4326 - Phone
- (512) 978-9200
- Fax
- (512) 978-9220
- NPI assigned
- Jun 30, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
211 Comal St
Austin, TX 78702-4326
Mailing address
PO Box 17366
Austin, TX 78760-7366
Phone (512) 978-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2046542-01 | Medicaid | TX |
Other names 1
- CommUnityCare--East Austin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090331000528 | TX | Part A Provider - Federally Qualified Health Center (FQHC) | 5395802151 | Practice locations: Austin, TX |
Federally qualified health center certification: CCN 451883
- 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
- Corporation
- Incorporated
- Nov 25, 2003 in TX
- Enrollment address
- 211 Comal St
Austin, TX 78702-4326
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
211 Comal St
Austin, TX 78702
Phone (512) 972-4322
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Bradley Bryan Price | Corporate Director | Jun 28, 2022 | |
| Isaac Sanchez | Corporate Director | Sep 27, 2022 | |
| Paul Ballard | Corporate Officer | Feb 27, 2024 | |
| Sedora Jefferson | Corporate Director | Jan 25, 2023 | |
| Carlos Manuel Gormaz | Corporate Director | Nov 17, 2020 | |
| Guy Swenson | Corporate Officer | Mar 1, 2019 | |
| Steven Hewitt Garrett | Corporate Officer | Oct 26, 2021 | |
| Debra Kaye Locklear | Corporate Director | Apr 20, 2011 | |
| Nicholas Yagoda | Corporate Officer | Sep 15, 2014 | |
| Joy Sloan | Corporate Officer | May 19, 2019 | |
| W-2 Managing Employee | May 19, 2019 | ||
| Kimberly Janeral Johnson | Corporate Officer | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Communitycare | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2023 |
| Communitycare | 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": "1982632477",
"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": "211 COMAL ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787024326",
"telephone_number": "512-978-9200",
"fax_number": "512-978-9220"
}
],
"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": "2046542-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CommUnityCare--East Austin",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
- 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 Diabetes and Nutrition Specialists
- Central Texas Emergency Medical Associates PA
- Central Texas Geriatric Behavioral Health
- Central Texas Home Wound Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.