Heart of Texas Community Health Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Temple, TX
NPI 1992685218 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1992685218
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.
- Practice address
- 409 W Adams Ave Ste 200
Temple, TX 76501-4211 - Phone
- (254) 899-8650
- NPI assigned
- Sep 5, 2025
- Organization subpart
- No
Authorized official
- Name
- Matthew Polk
- Title
- Chief Operating Officer
- Phone
- (254) 313-4412
Owners & managing parties with NPI records 3
-
Jackson O Griggs, MD
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 24
Practitioners 173
-
Keith A. Boles, M.D.
-
Kelley Elizabeth Brown, LCSW
-
Rebeka Renae Calhoun, APRN, FNP-C
-
Jonathan D. Canava, LPC
-
Katie A Carranza, FNP
-
Carena Lee Chai, D.O.
-
Kimberly Madeja Cox, LCSW
-
Susan A Dornbusch, NP-C
-
James M Earhart, MD
-
Melody Fillmore, LCSW
-
Natalie Fjellanger, LCSW
-
Amy Flammer, M.D.
-
Anna Natterstad Geurkink, PA-C
-
John H Gill, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Federally qualified health center certification: CCN 971095
- Legal name
- HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.
- Doing business as
- WACO FAMILY MEDICINE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 9, 2026
- Last certification
- Jan 9, 2026
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 409 W Adams Ave
Ste 200
Temple, TX 76501-4211
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Kristen Padilla-Manor |
Corporate Director |
Jun 1, 2019 | |
| Donald M Hardin |
Corporate Officer |
May 10, 2021 | |
| W-2 Managing Employee |
May 10, 2021 | ||
| Joshua Lee Caballero |
Corporate Director |
Oct 24, 2022 | |
| Mildred Watley |
Corporate Director |
Jul 19, 2021 | |
| Larry Jaynes |
Corporate Director |
Oct 1, 2024 | |
| Sherry Williams |
Corporate Director |
Feb 25, 2019 | |
| Lacy McNamee |
Corporate Director |
Oct 1, 2023 | |
| Javier Torres |
Corporate Director |
Jan 27, 2025 | |
| Matthew Polk |
Corporate Officer |
Oct 1, 2020 | |
| W-2 Managing Employee |
Oct 1, 2020 | ||
| Gloria Guerra |
Corporate Director |
Jun 1, 2019 | |
| George Johnson |
Corporate Director |
Nov 13, 2017 | |
| Tashita Bibles |
Corporate Director |
Jul 19, 2021 | |
| Thomas Chester Edwards |
Corporate Director |
Oct 1, 2023 | |
| James Morrison |
Corporate Director |
Oct 1, 2023 | |
| Alex M Jones-Adesina |
Corporate Officer |
Jul 23, 2023 | |
| W-2 Managing Employee |
Jul 3, 2023 | ||
| Craig Hargenrader |
Corporate Officer |
Jan 15, 2024 | |
| W-2 Managing Employee |
Jan 15, 2024 | ||
| Luis Arroyo |
Corporate Officer |
Feb 24, 2020 | |
| W-2 Managing Employee |
Feb 24, 2020 | ||
| Mark Hobbs |
Corporate Director |
Jun 1, 2019 | |
| Jackson O Griggs |
Corporate Officer |
Feb 25, 2019 | |
| W-2 Managing Employee |
Feb 25, 2019 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Waco Family Medicine - Madison Cooper |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260109000930 | TX | Part a Provider - Federally Qualified Health Center (FQHC) | 1153370242 | Practice locations: Temple, TX |
National Provider Directory
- Tax ID family
- Heart of Texas Communit
Locations
409 W Adams Ave
Ste 200
Temple, TX 76501
Phone (254) 899-8650
600 S 25th St
#115
Temple, TX 76504
Phone (254) 899-8650
1226 Washington Ave
Waco, TX 76701
Phone (254) 313-6300
120 Hillcrest Medical Blvd
Ste 300
Waco, TX 76712
Phone (254) 313-6500
3400 Bellmead Dr
Waco, TX 76705
Phone (254) 313-5400
405 Londonderry Dr
Ste 309
Waco, TX 76712
Phone (254) 741-1860
715 N Rita St
Waco, TX 76705
Phone (254) 412-2101
405 Londonderry Dr
Ste 204
Waco, TX 76712
Phone (254) 313-1500
5020 Lakeland Cir
Ste A
Waco, TX 76710
Phone (254) 751-1777
225 W Waco Dr
Waco, TX 76707
Phone (254) 750-5409
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
409 W Adams Ave Ste 200
Temple, TX 76501-4211
Mailing address
1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200
Other names
- Waco Family Medicine - Temple Downtown
Other providers in Temple, TX
- Helen Grace Healy
- Brittney Heard
- Hearing Research Insitute, Inc.
- Heart of Texas Community Health Center, Inc.
- Heart of Texas Community Health Center, Inc.
- Heart of Texas Endodontics
- Heartline Ministries
- Savannah Mary Heath
- Heavenly Aim LLC
- Kimberly Renee Hebbe
All providers in Temple, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.