Organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Active
Other names
CommUnityCare, Black Men's Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MIDDLETON CPCS, AAS, BS (MANAGED CARE CONTRACT MANAGER)
(512) 978-9427
Entity
Organization
Contact information
Practice address
6633 E HIGHWAY 290 STE 100, AUSTIN, TX 78723-1157
(512) 978-9015
Mailing address
PO BOX 17366, AUSTIN, TX 78760-7366
(512) 978-9009
(512) 901-9713
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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