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.

Practice address

4601 N 19TH St
Waco, TX 76708-1261

Phone

(254) 313-5800

Fax

(254) 313-5849

NPI assigned

Oct 5, 2011

Organization subpart

Yes

Parent organization

HEART OF TEXAS COMMUNITY HEALTH CENTER, INCAs reported in NPPES

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

Authorized official

Name

Mrs. Annette Ballew, CFO

Title

Chief Financial Officer

Phone

(254) 313-4282

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Community Clinic at MCC 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

Part of

Heart of Texas Communit

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1942584255",
    "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": "4601 N 19TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081261",
            "telephone_number": "254-313-5800",
            "fax_number": "254-313-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART OF TEXAS COMMUNITY HEALTH CENTER, INC",
        "enumeration_date": "2011-10-05",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "BALLEW",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "254-313-4282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM DATA SET",
            "identifier": "068160",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQ0000676",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092957204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Clinic at MCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heart of Texas Community Health Center, Inc.
• Heart of Texas Community Health Center, Inc.
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• 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.