MEDICARE: CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1992343537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Provider Business Mailing Address
First Line	:	2115 KRAMER LN SUOTE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-4013
Country	:	US
Telephone Number	:	512-978-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 GILBERT RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-2007
Country	:	US
Telephone Number	:	512-978-9015
Fax Number	:	512-776-0472

Authorized Official
Title or Position	:	CFO
Name	:	JOY SLOAN
Credential	:
Telephone Number	:	512-978-9000

Provider Enumeration Date	:	12/13/2019
Last Update Date	:	12/28/2023

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