ATC HHSD Immunization Program – State or Local Public Health Clinic/Center, NPI 1578749305

ATC HHSD Immunization Program is a healthcare provider. based in Austin, Texas. specializing in State or Local Public Health Clinic/Center. The NPI Number for ATC HHSD Immunization Program is 1578749305

Main info

Organization
Name
ATC HHSD Immunization Program
NPI
1578749305
Phone
(512) 972-6216
Address
15 WALLER ST
Authorized Official
MR. DAVID LURIE DIRECTOR
Enumeration Date
10 January 2008
Last Update Date
12 February 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for ATC HHSD Immunization Program

  • Rebekah Baines Johnson Health Center, 15, Waller Street, East Cesar Chavez, Austin, Travis County, Texas, 78702, United States

    STE 410

    AUSTIN, TX 787025240

    Phone: (512) 972-6216

    Fax: (512) 972-6225

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78702)

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Reviews

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Frequently asked questions

Can I cross-check ATC HHSD Immunization Program using NPI 1578749305?
NPI 1578749305 belongs to ATC HHSD Immunization Program; compare other details if you need extra assurance.
Would ATC HHSD Immunization Program appear as active to a payer?
You can treat ATC HHSD Immunization Program as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ATC HHSD Immunization Program's focus?
For ATC HHSD Immunization Program, the primary taxonomy reads as State or Local Public Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Is ATC HHSD Immunization Program located near Austin?
ATC HHSD Immunization Program currently maps to Austin, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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-HHSD Immunization Program

Family Medicine Physician
15 Waller St Fl 1
NPI: 1568635803