Provider Demographics
NPI:1326052226
Name:HEALTH AND HUMAN SERVICES COMMISSION
Entity Type:Organization
Organization Name:HEALTH AND HUMAN SERVICES COMMISSION
Other - Org Name:AUSTIN STATE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE COMMISSIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-814-9642
Mailing Address - Street 1:701 W 51ST ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-2312
Mailing Address - Country:US
Mailing Address - Phone:512-438-5618
Mailing Address - Fax:512-438-4220
Practice Address - Street 1:4110 GUADALUPE STREET
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-4223
Practice Address - Country:US
Practice Address - Phone:512-913-1580
Practice Address - Fax:512-419-2683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH3010OtherBCBS DRUG/ALCOHOL
TX1218281-02Medicaid
TX1218281-04Medicaid
TX4539637OtherPHARMACY NCPDP NUMBER
TX0211948-01Medicaid
TXHH4750OtherBCBS PSYCHIATRIC
TX1218281-01Medicaid
TXHH3010OtherBCBS DRUG/ALCOHOL
TX454084Medicare Oscar/Certification