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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205864774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL TEXAS COMMUNITY HEALTH CENTERS

Provider Business Mailing Address
First Line	:	PO BOX 17366
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78760-7366
Country	:	US
Telephone Number	:	512-978-9000
Fax Number	:	512-978-9001

Provider Business Practice Location Address
First Line	:	6801 S IH 35 STE 1-E
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-4824
Country	:	US
Telephone Number	:	512-978-9960
Fax Number	:	512-978-9961

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	01/24/2024

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Directions to “CENTRAL TEXAS COMMUNITY HEALTH CENTERS ” Practice Location

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