| Communitycare | |
|
301 Highway 71 W Ste 111 Bastrop TX 78602-4111 | |
| (512) 445-4800 | |
| (512) 308-9649 |
| Full Name | Communitycare |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Highway 71 W Ste 111, Bastrop, Texas |
| Authorized Official Name and Position | Joy Sloan (CFO) |
| Authorized Official Contact | 5129789914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Communitycare 2115 Kramer Ln Austin TX 78758-4013 | Communitycare 301 Highway 71 W Ste 111 Bastrop TX 78602-4111 Ph: (512) 445-4800 |
| NPI Number | 1356839070 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 5395802151 |
|---|---|
| Medicare Enrollment ID | O20180613003287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356839070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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