| Communitycare | |
|
14008 Shadowglen Blvd Ste 302 Manor TX 78653-3406 | |
| (512) 978-9780 | |
| (512) 901-9739 |
| Full Name | Communitycare |
|---|---|
| Speciality | Clinic/Center |
| Location | 14008 Shadowglen Blvd Ste 302, Manor, Texas |
| Authorized Official Name and Position | Joy Sloan (CFO) |
| Authorized Official Contact | 5129789427 |
| 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 Ph: () - | Communitycare 14008 Shadowglen Blvd Ste 302 Manor TX 78653-3406 Ph: (512) 978-9780 |
| NPI Number | 1093203713 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 5395802151 |
|---|---|
| Medicare Enrollment ID | O20180615000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093203713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
People's Community Clinic Off-site Clinic At Manor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10335 Us Highway 290 E, Manor, TX 78653 Phone: 512-278-4462 Fax: 512-278-4017 | |
Manor Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14001 Shadow Glen Blvd, Suite G, Manor, TX 78653 Phone: 512-535-4787 | |
Communitycare--manor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W Carrie Manor St, Manor, TX 78653 Phone: 512-978-9780 Fax: 512-978-9781 |