| Communitycare--manor | |
|
600 W Carrie Manor St Manor TX 78653-5035 | |
| (512) 978-9780 | |
| (512) 978-9781 |
| Full Name | Communitycare--manor |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 600 W Carrie Manor St, Manor, Texas |
| Authorized Official Name and Position | Kimberly Middleton (MANAGED CARE CONTRACT MANAGER) |
| Authorized Official Contact | 5129789427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Communitycare--manor Po Box 17366 Austin TX 78760-7366 Ph: (512) 978-9000 | Communitycare--manor 600 W Carrie Manor St Manor TX 78653-5035 Ph: (512) 978-9780 |
| NPI Number | 1598793077 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598793077 | NPI | - | NPPES |
| 2046831-01 | Medicaid | TX |
| 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 | |
Communitycare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14008 Shadowglen Blvd Ste 302, Manor, TX 78653 Phone: 512-978-9780 Fax: 512-901-9739 | |
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 |