Organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Active
Other names
CommUnityCare--Safe Place Shelter
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B VLIET (CEO)
(512) 978-9050
Entity
Organization
Contact information
Practice address
1401 GROVE BLVD, SAFE PLACE SHELTER, AUSTIN, TX 78741-3458
(512) 267-7233
Mailing address
15 WALLER ST, RBJ HEALTH CENTER, AUSTIN, TX 78702-5240
(512) 978-9074
(512) 978-9013
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451973
MEDICARE A
—
Enumeration date
06/30/2006
Last updated
11/12/2009
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