Heart of Texas Community Health Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

HEART OF TEXAS COMMUNITY HEALTH CENTER, INC

Doing business as

Austin Avenue Clinic

Practice address

110 S 12TH St
Waco, TX 76701-1810

Phone

(254) 313-6350

Fax

(254) 313-4531

NPI assigned

Jul 8, 2014

Last updated

Jul 28, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Annette Ballew, CPA

Title

Cfo

Phone

(254) 313-4282

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Austin Avenue Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1427464759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 12TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011810",
            "telephone_number": "254-313-6350",
            "fax_number": "254-313-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "BALLEW",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "254-313-4282",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342899701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Avenue Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heart of Texas Community Health Center (Waco Family Medicine - Pharmacy)
• Heart of Texas Community Health Center Inc (Waco Family Medicine - Pharmacy #2)
• Heart of Texas Community Health Center Inc (Waco Family Medicine)
• Heart of Texas Community Health Center Inc (Waco Family Medicine - Madison Cooper)
• Heart of Texas Community Health Center, Inc (Family Health Center)
• Heart of Texas Community Health Center, Inc (Meyer Community Clinic)
• Heart of Texas Community Health Center, Inc
• Heart of Texas Community Health Center, Inc (Riverside Dental Clinic)
• Heart of Texas Community Health Center, Inc (South 18th Street Community Clinic)
• Heart of Texas Community Health Center, Inc (West Waco Community Clinic)

• Federally Qualified Health Center (FQHC) in Waco, TX
• Providers in Waco, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.