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Organization

CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Active
Other names
CommUnityCare--Manor
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
600 W CARRIE MANOR ST, MANOR, TX 78653-5035
(512) 978-9780
(512) 978-9781
Mailing address
PO BOX 17366, AUSTIN, TX 78760-7366
(512) 978-9000
(512) 978-9001

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2046831-01
TX
Enumeration date
06/30/2006
Last updated
02/11/2021
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