Organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Active
Other names
CommUnityCare at Rodeway Inn
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MIDDLETON CPCS (MANAGED CARE CONTRACT MANAGER)
(512) 978-9427
Entity
Organization
Contact information
Practice address
2711 S INTERSTATE 35, AUSTIN, TX 78741-5514
(512) 978-5831
(512) 776-0462
Mailing address
PO BOX 17366, AUSTIN, TX 78760-7366
(512) 978-9427
(512) 901-9706
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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