MEDICARE: HEALTH AND HUMAN SERVICES COMMISSION

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	283Q00000X	Psychiatric Hospital		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH3010	OTHER	TX	BCBS DRUG/ALCOHOL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4539637	OTHER	TX	PHARMACY NCPDP NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	HH4750	OTHER	TX	BCBS PSYCHIATRIC
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326052226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND HUMAN SERVICES COMMISSION

Provider Business Mailing Address
First Line	:	701 W 51ST ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-2312
Country	:	US
Telephone Number	:	512-438-5618
Fax Number	:	512-438-4220

Provider Business Practice Location Address
First Line	:	4110 GUADALUPE STREET
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-4223
Country	:	US
Telephone Number	:	512-913-1580
Fax Number	:	512-419-2683

Authorized Official
Title or Position	:	ASSOCIATE COMMISSIONER
Name	:	MS. KRISTY CARR
Credential	:
Telephone Number	:	512-814-9642

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	01/31/2024

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Directions to “HEALTH AND HUMAN SERVICES COMMISSION ” Practice Location

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