Organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Active
Other names
CommUnityCare
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
2501 W WILLIAM CANNON DR BLDG 4, AUSTIN, TX 78745-5281
(512) 804-3202
(512) 901-9742
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
09/30/2021
Last updated
09/30/2021
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