| Communitycare | |
|
9301 Hog Eye Rd Austin TX 78724-4600 | |
| (512) 978-5831 | |
| (512) 776-0462 |
| Full Name | Communitycare |
|---|---|
| Speciality | Clinic/Center |
| Location | 9301 Hog Eye Rd, Austin, Texas |
| Authorized Official Name and Position | Kimberly Middleton (MANAGED CARE CONTRACT MANAGER) |
| Authorized Official Contact | 5129789427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Communitycare Po Box 17366 Austin TX 78760-7366 Ph: (512) 978-9009 | Communitycare 9301 Hog Eye Rd Austin TX 78724-4600 Ph: (512) 978-5831 |
| NPI Number | 1205325222 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 09/14/2021 |
| Certification Date | 01/18/2021 |
| Medicare PECOS PAC ID | 5395802151 |
|---|---|
| Medicare Enrollment ID | O20180614001646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205325222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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