| Communitycare--pflugerville | |
|
15822 Foothill Farms Loop Pflugerville TX 78660-3422 | |
| (512) 978-9840 | |
| (512) 978-9860 |
| Full Name | Communitycare--pflugerville |
|---|---|
| Speciality | Clinic/Center |
| Location | 15822 Foothill Farms Loop, Pflugerville, Texas |
| Authorized Official Name and Position | Carolyn Konecny (CFO) |
| Authorized Official Contact | 5129789000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Communitycare--pflugerville Po Box 17366 Austin TX 78760-7366 Ph: (512) 978-9000 | Communitycare--pflugerville 15822 Foothill Farms Loop Pflugerville TX 78660-3422 Ph: (512) 978-9840 |
| NPI Number | 1265460737 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 08/13/2015 |
| Medicare PECOS PAC ID | 5395802151 |
|---|---|
| Medicare Enrollment ID | O20090401000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265460737 | NPI | - | NPPES |
| 2046856-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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