CENTRAL TEXAS COMMUNITY HEALTH CENTERS (NPI# 1376784108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376784108 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS COMMUNITY HEALTH CENTERS |
| Other Organization Name | COMMUNITYCARE--RUNDBERG |
| Practice Address |
825 E Rundberg Ln Ste. B-1 Austin TX 78753-4808 |
| Mailing Address |
Po Box 17366 Austin TX 78760-7366 |
| Practice Telephone | 5129789600 |
| Mailing Telephone | 5129789000 |
| Mailing Fax Number | 5129789001 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | CAROLYN KONECNY (CFO) |
| Authorized Official Telephone | 5129789000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2079923-01 | 05 |
| Other Name | Type Code |
|---|---|
| CommUnityCare--Rundberg | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710023 | Central Texas Community Health Centers | Clinic/Center | 2237 E Riverside Dr Ste 101c, Austin, TX 78741-3051 | 2019-10-07 |
| 1548801939 | Central Texas Community Health Centers | Clinic/Center | 6425 S Interstate 35 Ste 100, Austin, TX 78744-4230 | 2019-10-07 |
| 1427523372 | Central Texas Community Health Centers | Clinic/Center | 2501 S Ih 35, Austin, TX 78741-5533 | 2018-10-08 |
| 1447725387 | Central Texas Community Health Centers | Clinic/Center | 7101 N Ih 35, Austin, TX 78752-3296 | 2018-10-08 |
| 1790250686 | Central Texas Community Health Centers | Clinic/Center | 3154 Texas 71, Austin, TX 78617 | 2018-10-08 |
| 1346715281 | Central Texas Community Health Centers | Clinic/Center | 7201 Colony Loop Dr, Austin, TX 78724-5348 | 2018-10-08 |
| 1780159756 | Central Texas Community Health Centers | Clinic/Center | 4430 Manchaca Rd, Austin, TX 78745-1604 | 2018-10-05 |
| 1093203713 | Central Texas Community Health Centers | Clinic/Center | 14008 Shadowglen Blvd, Manor, TX 78653-3396 | 2018-04-27 |
| 1083102701 | Central Texas Community Health Centers | Clinic/Center | 2410 E Riverside Dr Ste 105, Austin, TX 78741-3083 | 2018-04-27 |
| 1710475439 | Central Texas Community Health Centers | Clinic/Center | 7112 Ed Bluestein Blvd Ste 105, Austin, TX 78723-2913 | 2018-04-27 |
| Street Address |
825 E RUNDBERG LN STE. B-1 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528013281 | David Vander Straten | Family Medicine | 825 E Rundberg Ln, #f, Austin, TX 78753-4808 | 2006-05-23 |
| 1801429956 | Erin Byars | Registered Nurse | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2020-02-18 |
| 1013478320 | John Robert Benson | Nurse Practitioner | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2019-03-28 |
| 1508323288 | Elizabeth Ann Banks | Counselor | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2019-02-28 |
| 1457776064 | Bukola Sukurat Azeez | Nurse Practitioner | 825 E Rundberg Ln, Austin, TX 78753-4808 | 2014-02-19 |
| 1437437282 | Aleeahna Phan | Dentist | 825 E Rundberg Ln, Suite A1, Austin, TX 78753-4808 | 2011-07-27 |
| 1104133610 | Sharmin Hasnat Khan | Dentist | 825 E Rundberg Ln, Suite A-1, Austin, TX 78753-4808 | 2010-09-03 |
| 1962731505 | Access Orthodontics of Rundberg Pa | Dentist | 825 E Rundberg Ln, Suite A-1, Austin, TX 78753-4808 | 2009-12-10 |
| 1275861924 | Yu Yu Khin | Internal Medicine | 825 E Rundberg Ln, Suite B1, Austin, TX 78753-4808 | 2009-11-18 |
| 1679704076 | Manjusha Tummala | Dentist | 825 E Rundberg Ln, A1, Austin, TX 78753-4808 | 2009-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710023 | Central Texas Community Health Centers | Clinic/Center | 2237 E Riverside Dr Ste 101c, Austin, TX 78741-3051 | 2019-10-07 |
| 1548801939 | Central Texas Community Health Centers | Clinic/Center | 6425 S Interstate 35 Ste 100, Austin, TX 78744-4230 | 2019-10-07 |
| 1427523372 | Central Texas Community Health Centers | Clinic/Center | 2501 S Ih 35, Austin, TX 78741-5533 | 2018-10-08 |
| 1447725387 | Central Texas Community Health Centers | Clinic/Center | 7101 N Ih 35, Austin, TX 78752-3296 | 2018-10-08 |
| 1790250686 | Central Texas Community Health Centers | Clinic/Center | 3154 Texas 71, Austin, TX 78617 | 2018-10-08 |
| 1346715281 | Central Texas Community Health Centers | Clinic/Center | 7201 Colony Loop Dr, Austin, TX 78724-5348 | 2018-10-08 |
| 1780159756 | Central Texas Community Health Centers | Clinic/Center | 4430 Manchaca Rd, Austin, TX 78745-1604 | 2018-10-05 |
| 1083102701 | Central Texas Community Health Centers | Clinic/Center | 2410 E Riverside Dr Ste 105, Austin, TX 78741-3083 | 2018-04-27 |
| 1710475439 | Central Texas Community Health Centers | Clinic/Center | 7112 Ed Bluestein Blvd Ste 105, Austin, TX 78723-2913 | 2018-04-27 |
| 1851751887 | Lifespring Inc | Clinic/Center | 2277 W Frontage Rd, Austin, IN 47102-8820 | 2016-03-03 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.