Organization Active NPI

Williamson County & Cities Health District

  • Public Health or Welfare Agency
  • Round Rock, TX
National Provider Identifier
1982661633
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WILLIAMSON COUNTY & CITIES HEALTH DISTRICT
Practice address
355 Texas Avenue
Round Rock, TX 78664
Phone
(512) 943-3640
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Michelle Broddrick
Title
Administration and Finance Director
Phone
(512) 248-3246

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
Ambulatory Family Planning Facility 261QA0005X
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

355 Texas Avenue
Round Rock, TX 78664

Mailing address

355 Texas Avenue
Round Rock, TX 78664

Other identifiers 3

IdentifierTypeStateIssuer
1269367-02MedicaidTX
183186901MedicaidTX
092673501MedicaidTX

Other names 1

  • WCCHD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111021000236 TX Part B Supplier - Other 8123100344 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Cedar Park, TX; Georgetown, TX; Round Rock, TX; Taylor, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0708627Williamson County & Cities Health Distict355 Texas Ave, Round Rock, TX 78664Provider-performed microscopyFeb 11, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1982661633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TEXAS AVENUE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 TEXAS AVENUE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-943-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON COUNTY & CITIES HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "BRODDRICK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATION AND FINANCE DIRECTOR",
        "authorized_official_telephone_number": "512-248-3246"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269367-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183186901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092673501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCCHD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WCCHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.