CENTRAL TEXAS COMMUNITY HEALTH CENTERS (NPI# 1467857185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467857185 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS COMMUNITY HEALTH CENTERS |
| Other Organization Name | COMMUNITYCARE-BLACKSTOCK |
| Practice Address |
1313 Red River St Ste 100 Austin TX 78701-1943 |
| Mailing Address |
Po Box 17366 Austin TX 78760-7366 |
| Practice Telephone | 5123248600 |
| Mailing Telephone | 5129789000 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | CAROLYN KONECNY (CFO) |
| Authorized Official Telephone | 5129789000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL TEXAS COMMUNITY HEALTH CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CommUnityCare-Blackstock | Doing Business As Name - 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 |
1313 RED RIVER ST STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78701-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427936 | Debra Ann Lopez | Pharmacist | 1313 Red River St, Ste 100, Austin, TX 78701-1923 | 2005-06-16 |
| 1538695986 | Elizabeth Hamburg | Social Worker | 1313 Red River St, #100, Austin, TX 78701 | 2017-05-04 |
| 1952750291 | Julie Ayala | Obstetrics & Gynecology | 1313 Red River St, Suite A1, Austin, TX 78701-1943 | 2016-06-07 |
| 1467807610 | Michael Castellarin | Family Medicine | 1313 Red River St, Suite100, Austin, TX 78701-1943 | 2016-04-25 |
| 1023471158 | Kelly M. Dimattio | Obstetrics & Gynecology | 1313 Red River St, Suite A1, Austin, TX 78701-1943 | 2016-04-05 |
| 1740644806 | Shaila Patel | Obstetrics & Gynecology | 1313 Red River St, Suite A1, Austin, TX 78701-1943 | 2016-04-05 |
| 1114314622 | Casey Sehri Prammanasudh | Obstetrics & Gynecology | 1313 Red River St, Suite A1, Austin, TX 78701-1943 | 2015-04-22 |
| 1407266059 | Gwendolyn Luecke | Obstetrics & Gynecology | 1313 Red River St, Suite A1, Austin, TX 78701-1943 | 2014-05-05 |
| 1548670581 | Deborah A Lee | Obstetrics & Gynecology | 1313 Red River St, Suite A1, Austin, TX 78701-1943 | 2014-04-29 |
| 1710326319 | Johnson Wu | Family Medicine | 1313 Red River St, #100, Austin, TX 78701-1943 | 2013-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1114575792 | Shyneice Lasha Gaddis | Behavior Technician | 100 Congress Ave Suite 2000, Austin, TX 78701 | 2019-08-28 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1538726195 | Zahra Virginia Cain-akbar | Student in an Organized Health Care Education/Training Program | Ut Dell Medical, 1500 Red River St, Austin, TX 78701 | 2019-05-20 |
| 1457918021 | Sara Lugonjic | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 | 2019-05-20 |
| Find all providers in zip 78701 | ||||
| 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.