CENTRAL TEXAS COMMUNITY HEALTH CENTERS (NPI# 1518333004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518333004 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS COMMUNITY HEALTH CENTERS |
| Other Organization Name | COMMUNITYCARE AT SANDRA JOY ANDERSON COMMUNITY HEALTH AND WELLNESS CEN |
| Practice Address |
1705 E 11th St Austin TX 78702-2709 |
| Mailing Address |
Po Box 17366 Austin TX 78760-7366 |
| Practice Telephone | 5129788400 |
| Mailing Telephone | 5129789000 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-26 |
| 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 at Sandra Joy Anderson Community Health and Wellness Cen | 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 |
1705 E 11TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303489 | Varsha Suresh Bilolikar | Family Medicine | 1705 E 11th St, Austin, TX 78702 | 2005-08-15 |
| 1114326741 | Amber Yoder | Nurse Practitioner | 1705 E 11th St, Austin, TX 78702 | 2014-08-20 |
| 1770912313 | Mary Nicole Rozsypal | Physician Assistant | 1705 E 11th St, Austin, TX 78702 | 2013-11-04 |
| 1386995983 | Pirahatai Chamnongvongse | Family Medicine | 1705 E 11th St, Austin, TX 78702-2709 | 2012-09-24 |
| 1932415064 | Emily Claire Lee | Nurse Practitioner | 1705 E 11th St, Austin, TX 78702-2709 | 2010-08-26 |
| 1831417807 | Khola H Dar | Family Medicine | 1705 E 11th St, Austin, TX 78702-2709 | 2010-05-14 |
| 1073764494 | Sarah Margaret Mccray | Registered Nurse | 1705 E 11th St, Austin, TX 78702-2709 | 2008-10-03 |
| 1700078169 | Charlotte Djaaba Amorin | Nurse Practitioner | 1705 E 11th St, Austin, TX 78702-2709 | 2007-08-09 |
| 1528031747 | Todd Alan Thacker | Family Medicine | 1705 E 11th St, Austin, TX 78702-2709 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207171 | Enamel Dentistry Saltillo, Pllc | Clinic/Center | 901 E. 5th Street, Suite 170, Austin, TX 78702 | 2019-07-22 |
| 1730678616 | Marci Lawson | Counselor | 1103 Cherico St Unit 3, Austin, TX 78702 | 2018-05-06 |
| 1730608340 | Gloria Robertson Hatfield | Social Worker | 501 N I-35, Ste 112, Austin, TX 78702 | 2017-09-14 |
| 1083063168 | Nona Mason | Nurse Practitioner | Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 | 2016-06-08 |
| 1124487467 | Sarah Beth Mclaughlin | Social Worker | 1631 E. 2nd St., Bldg. E, Austin, TX 78702 | 2016-02-15 |
| 1972969590 | Austin Mind Body | Counselor | 905 E. 5th Street, Suite 102, Austin, TX 78702 | 2016-01-12 |
| 1972976777 | Stacy Griffin | Social Worker | 1631 E. 2nd Street, Austin, TX 78702 | 2015-11-03 |
| 1396111894 | Jocelyn Jarmon | Health Maintenance Organization | 1803 Ulit Avenue, Austin, TX 78702 | 2015-08-19 |
| 1396142972 | Jillessa Fiorillo | Social Worker | 1631-d East 2nd Street, Austin, TX 78702 | 2014-11-26 |
| 1518390962 | Emily Anna Murray | Physical Therapist | 1621 E 6th St # 11488, Austin, TX 78702 | 2013-08-20 |
| Find all providers in zip 78702 | ||||
| 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.