PEOPLE'S COMMUNITY CLINIC, INC. (NPI# 1114282845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114282845 |
| Entity Type | Organization |
| Organization Name | PEOPLE'S COMMUNITY CLINIC, INC. |
| Other Organization Name | PEOPLE'S COMMUNITY CLINIC OFF-SITE CLINIC AT SAFEPLACE |
| Practice Address |
1515 Grove Blvd Austin TX 78741-3453 |
| Mailing Address |
1101 Camino La Costa Austin TX 78752-3930 |
| Practice Telephone | 5124784939 |
| Practice Fax Number | 5123200702 |
| Mailing Telephone | 5124784939 |
| Mailing Fax Number | 5123200702 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | REGINA ROGOFF (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5124784939 |
| 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 |
|---|---|
| People's Community Clinic Off-Site Clinic at SafePlace | Doing Business As Name - Organization |
| 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 |
| 1740545474 | People's Community Clinic, Inc. | Clinic/Center | 408 W 23rd St, Suite 300, Austin, TX 78705-5214 | 2012-07-09 |
| 1568881670 | People's Community Clinic, Inc. | Clinic/Center | 2909 N Ih 35, Austin, TX 78722-2304 | 2014-04-16 |
| 1710242441 | People's Community Clinic, Inc. | Clinic/Center | 4800 Manor Rd, Austin, TX 78723-5471 | 2012-07-09 |
| 1568726214 | People's Community Clinic, Inc. | Clinic/Center | 1101 Camino La Costa, Austin, TX 78752-3930 | 2012-06-27 |
| Street Address |
1515 GROVE BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78741-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669038873 | Christina Marie Foxhall | Social Worker | 1515 Grove Blvd, Austin, TX 78741-3453 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1942702402 | Lani Kay Hartnett | Social Worker | 2410 E. Riverside Dr. Ste. G3, Austin, TX 78741 | 2018-03-01 |
| 1164946000 | Afiya Tamkeen | Dentist | 4410 East Riverside Dr., Austin, TX 78741 | 2017-08-02 |
| 1487174603 | Keila Luna | Speech-Language Pathologist | 2410 East Riverside Dr, Suite B-1, Austin, TX 78741 | 2017-06-20 |
| 1033640859 | Anastacia Erebia | Licensed Vocational Nurse | 6600 E. Ben White Blvd, Austin, TX 78741 | 2017-03-23 |
| 1376084756 | Stephanie Marie Haywood | Social Worker | 6600 E Ben White Herman Center, Austin, TX 78741 | 2017-03-17 |
| 1811437700 | Happiness Onyinyechi Nwadike | Registered Nurse | 6600 E. Ben White Herman Center, Austin, TX 78741 | 2017-02-27 |
| 1811436975 | Jennifer Salas | Licensed Practical Nurse | 6600 E. Ben White, Austin, TX 78741 | 2017-02-21 |
| 1235681008 | Amber Taylor | Occupational Therapy Assistant | 2410 E. Riverside, Suite B-1, Austin, TX 78741 | 2016-10-27 |
| Find all providers in zip 78741 | ||||
| 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.