Organization
PEOPLE'S COMMUNITY CLINIC, INC.
Active
Other names
People's Community Clinic Off-Site Clinic at Austin Children's Shelter
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ROGOFF (CHIEF EXECUTIVE OFFICER)
(512) 478-4939
Entity
Organization
Contact information
Practice address
4800 MANOR RD, AUSTIN, TX 78723-5471
(512) 478-4939
(512) 320-0702
Mailing address
1101 CAMINO LA COSTA, AUSTIN, TX 78752-3930
(512) 478-4939
(512) 320-0702
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
11/19/2018
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