Provider Demographics
NPI:1982661633
Name:WILLIAMSON COUNTY & CITIES HEALTH DISTRICT
Entity Type:Organization
Organization Name:WILLIAMSON COUNTY & CITIES HEALTH DISTRICT
Other - Org Name:WCCHD
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATION AND FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRODDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-248-3246
Mailing Address - Street 1:355 TEXAS AVENUE
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:355 TEXAS AVENUE
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-943-3640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1269367-02Medicaid
TX183186901Medicaid
TX092673501Medicaid
TX1269367-02Medicaid