Organization
CITY OF AUSTIN
Active
Parent organization
CITY OF AUSTIN
Other names
City of Austin/ATCCHC-FQHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF AUSTIN
Authorized official
MR. DAVID B VLIET (CEO)
(512) 972-4242
Entity
Organization
Contact information
Practice address
15 WALLER ST, AUSTIN, TX 78702-5240
(512) 972-4074
(512) 972-4088
Mailing address
211 COMAL ST, AUSTIN, TX 78702-4326
(512) 972-4322
(512) 972-4220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00HE66
MEDICARE PART B GROUP #
TX
Enumeration date
12/28/2007
Last updated
12/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us