CENTRAL TEXAS COMMUNITY HEALTH CENTERS (NPI# 1093203713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093203713 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS COMMUNITY HEALTH CENTERS |
| Other Organization Name | COMMUNITYCARE |
| Practice Address |
14008 Shadowglen Blvd Manor TX 78653-3396 |
| Mailing Address |
2115 Kramer Ln Austin TX 78758-4013 |
| Practice Telephone | 5124454800 |
| Practice Fax Number | 5123089649 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | ASHLEE HAYS (PROVIDER CONTRACTING MANAGER) |
| Authorized Official Telephone | 5129789914 |
| 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 |
| Other Name | Type Code |
|---|---|
| CommUnityCare | 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 |
| 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 |
| 1801237748 | Central Texas Community Health Centers | Clinic/Center | 5015 Ih35 South, Suite 174, Austin, TX 78744-2736 | 2013-07-08 |
| Street Address |
14008 SHADOWGLEN BLVD |
| City | MANOR |
| State | TX |
| Zip Code | 78653-3396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619526902 | Us Multispecialty Group | Registered Nurse | 14008 Shadowglen Blvd, Manor, TX 78653-3396 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293112 | Angelica Marie Griffin | Residential Treatment Facility, Emotionally Disturbed Children | 12500 Shadowglen Trace 3204, Manor, TX 78653 | 2020-04-06 |
| 1215591391 | Manor Total Dental and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 11828 Ring Dr. Ste 102, Manor, TX 78653 | 2019-04-24 |
| 1932698412 | New Hope Ranch | Substance Abuse Rehabilitation Facility | 11908 Sparks Road, Manor, TX 78653 | 2018-05-09 |
| 1649788332 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 12700 Lexington Street, Suite 220, Manor, TX 78653 | 2018-01-16 |
| 1760998934 | Open Hearts & Open Doors Group Home Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11605 Mill Ridge Trce, Manor, TX 78653 | 2017-12-22 |
| 1184089443 | Manor Family Orthodontics, Pllc | Dentist | 11828 Ring Dr, Ste 102, Manor, TX 78653 | 2015-12-30 |
| 1225424542 | Rsvp Healthcare Alliance, LLC | Pharmacy | 14008 Shadow Glen Blvd, Ste 102, Manor, TX 78653 | 2015-04-14 |
| 1023410560 | Demitra Stephens Haynes | In Home Supportive Care | 18116 Flathead Dr, Manor, TX 78653 | 2014-09-16 |
| 1922429836 | Wal-mart Stores Texas LLC | Technician/Technologist | 11923 Us Hwy 290 E, Manor, TX 78653 | 2013-12-18 |
| 1710326434 | Lizania Montero | Dentist | 11300 Hwy 290 E, Suite 200, Manor, TX 78653 | 2013-06-15 |
| Find all providers in zip 78653 | ||||
| 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 |
|---|---|---|---|---|
| 1083019905 | People's Community Clinic, Inc. | Clinic/Center | 10335 Us Highway 290 E, Manor, TX 78653-4686 | 2014-11-04 |
| 1598793077 | Central Texas Community Health Centers | Clinic/Center | 600 W Carrie Manor St, Manor, TX 78653-5035 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366718 | East Texas Border Health Clinic | Clinic/Center | 1411 College Dr, Texarkana, TX 75503-3533 | 2020-11-04 |
| 1366043689 | Legacy Community Health Services, Inc. | Clinic/Center | 1900 Strawn Rd., Houston, TX 77039-2017 | 2020-11-03 |
| 1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
| 1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
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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.