| Communitycare At Sandra Joy Anderson Community Health And Wellness Cen | |
|
1705 E 11th St Austin TX 78702-2709 | |
| (512) 978-8400 | |
| Not Available |
| Full Name | Communitycare At Sandra Joy Anderson Community Health And Wellness Cen |
|---|---|
| Speciality | Clinic/Center |
| Location | 1705 E 11th St, Austin, 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 At Sandra Joy Anderson Community Health And Wellness Cen Po Box 17366 Austin TX 78760-7366 Ph: (512) 978-9000 | Communitycare At Sandra Joy Anderson Community Health And Wellness Cen 1705 E 11th St Austin TX 78702-2709 Ph: (512) 978-8400 |
| NPI Number | 1518333004 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/26/2015 |
| Medicare PECOS PAC ID | 5395802151 |
|---|---|
| Medicare Enrollment ID | O20160126001898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518333004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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