Organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Active
Other names
CommUnityCare--South Austin
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN KONECNY (CFO)
(512) 978-9000
Entity
Organization
Contact information
Practice address
2529 S 1ST ST, AUSTIN, TX 78704-5466
(512) 978-9500
(512) 978-9558
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
—
2046591-01
—
TX
Enumeration date
06/30/2006
Last updated
08/14/2015
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