Organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Active
Parent organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Other names
CommUnityCare - North Central
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Authorized official
CAROLYN KONECNY (CFO)
(512) 978-9000
Entity
Organization
Contact information
Practice address
1210 W. BRAKER LANE, AUSTIN, TX 78758
(512) 978-9300
Mailing address
PO BOX 17366, AUSTIN, TX 78760-7366
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2894107-01
—
TX
Enumeration date
02/03/2012
Last updated
08/13/2015
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