Communitycare | |
3518 Fm 973 Del Valle TX 78617-3723 | |
(512) 978-9015 | |
Not Available |
Full Name | Communitycare |
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Speciality | Clinic/Center |
Location | 3518 Fm 973, Del Valle, Texas |
Authorized Official Name and Position | Ashlee Hays (PROVIDER CONTRACTING MANAGER) |
Authorized Official Contact | 5129789914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Communitycare Po Box 17366 Austin TX 78760-7366 Ph: (512) 978-9914 | Communitycare 3518 Fm 973 Del Valle TX 78617-3723 Ph: (512) 978-9015 |
NPI Number | 1790296374 |
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Provider Enumeration Date | 10/23/2017 |
Last Update Date | 10/23/2017 |
Medicare PECOS PAC ID | 5395802151 |
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Medicare Enrollment ID | O20171208002078 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790296374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Communitycare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3154 Highway 71 E, Del Valle, TX 78617 Phone: 512-978-5831 Fax: 512-776-0462 |