Organization
SETON FAMILY OF HOSPITALS
Active
Other names
Seton Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG CORDOLA (DIRECTOR OF OPERATIONS)
(512) 324-1000
Entity
Organization
Contact information
Practice address
2811 E 2ND ST, AUSTIN, TX 78702-4843
(512) 324-6852
Mailing address
2811 E 2ND ST, AUSTIN, TX 78702-4843
(512) 324-4930
(512) 324-2929
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111433201
MEDICAID EPSDT
TX
05
—
135225401
—
TX
Enumeration date
08/09/2006
Last updated
03/17/2018
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