NPI | 1205325222 |
---|---|
Doing Business As | COMMUNITYCARE |
Entity Type | Organization |
Authorized Contact | KIMBERLY MIDDLETON Managed Care Contract Manager 512-978-9427 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-05-04 |
Last Update Date | 2021-09-14 |