COMMUNITYCARE--SOUTHEAST HEALTH & WELLNESS CENTER – NPI #1861420382
Clinic/Center

COMMUNITYCARE--SOUTHEAST HEALTH & WELLNESS CENTER is an AHC clinic located in AUSTIN, TX. NPPES has assigned the NPI number 1861420382 to COMMUNITYCARE--SOUTHEAST HEALTH & WELLNESS CENTER on June 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITYCARE--SOUTHEAST HEALTH & WELLNESS CENTER” is a dba name, the actual legal business name for this organization is CENTRAL TEXAS COMMUNITY HEALTH CENTERS. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 2 years ago on Mar 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITYCARE--SOUTHEAST HEALTH & WELLNESS CENTER below.

NPI Profile for
CENTRAL TEXAS COMMUNITY HEALTH CENTERS

NPI Number
1861420382
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Doing Business As (dba): COMMUNITYCARE--SOUTHEAST HEALTH & WELLNESS CENTER
Primary location
2901 MONTOPOLIS DR
AUSTIN, TX 78741-6411
Phone: (512) 978-9901 Fax: (512) 901-9765
Mailing address
PO BOX 17366
AUSTIN, TX 78760-7366
Phone: (512) 978-9000 Fax: (512) 978-9001
Organization Subpart
Yes - COMMUNITYCARE--SOUTHEAST HEALTH & WELLNESS CENTER is subpart of another organization.
Authorized Official
JOY SLOAN
CFO
Phone: (512) 978-9000
Updated
Certification Date
Mar 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COMMUNITYCARE--SOUTHEAST HEALTH & WELLNESS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX2046757-01
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.