Provider Demographics
NPI:1710023544
Name:COMMUNITY ACTION, INC. OF HAYS, CALDWELL, AND BLANCO COUNTIES
Entity Type:Organization
Organization Name:COMMUNITY ACTION, INC. OF HAYS, CALDWELL, AND BLANCO COUNTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELVER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:512-392-1161
Mailing Address - Street 1:PO BOX 748
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78667-0748
Mailing Address - Country:US
Mailing Address - Phone:512-392-1161
Mailing Address - Fax:512-392-3530
Practice Address - Street 1:204 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-2942
Practice Address - Country:US
Practice Address - Phone:512-281-5520
Practice Address - Fax:512-285-4030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126945812Medicaid