NPIMap

Organization Active NPI

Heart of Texas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Temple, TX
National Provider Identifier
1992685218
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Matthew Polk
Title
Chief Operating Officer
Phone
(254) 313-4412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 1

  • Waco Family Medicine - Temple Downtown Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109000930 TX Part A Provider - Federally Qualified Health Center (FQHC) 1153370242 Practice locations: Temple, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992685218. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
409 W Adams Ave
Ste 200
Temple, TX 76501-4211

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Heart of Texas Community Health Center Inc31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

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

1610 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

2201 MacArthur Dr
Ste 103
Waco, TX 76708
Phone (254) 202-6100

405 Londonderry Dr
Ste 309
Waco, TX 76712
Phone (254) 741-1860

5020 Lakeland Cir
Ste A
Waco, TX 76710
Phone (254) 751-1777

6500 Imperial Dr
Ste 200
Waco, TX 76712
Phone (253) 313-6600

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kristen Padilla-Manor Individual Corporate DirectorBoard Member Jun 1, 2019
Donald M Hardin Individual Corporate OfficerChief Clinical Officer May 10, 2021
W-2 Managing EmployeeChief Clinical Officer May 10, 2021
Joshua Lee Caballero Individual Corporate DirectorBoard Member Oct 24, 2022
Mildred Watley Individual Corporate DirectorBoard Member Jul 19, 2021
Larry Jaynes Individual Corporate DirectorBoard Member Oct 1, 2024
Sherry Williams Individual Corporate DirectorBoard Member Feb 25, 2019
Lacy McNamee Individual Corporate DirectorBoard Member Oct 1, 2023
Javier Torres Individual Corporate DirectorBoard Member Jan 27, 2025
Matthew Polk Individual Corporate OfficerCoo Oct 1, 2020
W-2 Managing EmployeeCoo Oct 1, 2020
Gloria Guerra Individual Corporate DirectorBoard Member Jun 1, 2019
George Johnson Individual Corporate DirectorBoard Member Nov 13, 2017
Tashita Bibles Individual Corporate DirectorBoard Member Jul 19, 2021
Thomas Chester Edwards Individual Corporate DirectorBoard Member Oct 1, 2023
James Morrison Individual Corporate DirectorBoard Member Oct 1, 2023
Alex M Jones-Adesina Individual Corporate OfficerChief Equity Officer Jul 23, 2023
W-2 Managing EmployeeChief Equity Officer Jul 3, 2023
Craig Hargenrader Individual Corporate OfficerCfo Jan 15, 2024
W-2 Managing EmployeeCfo Jan 15, 2024
Luis Arroyo Individual Corporate OfficerChief People Officer Feb 24, 2020
W-2 Managing EmployeeChief People Officer Feb 24, 2020
Mark Hobbs Individual Corporate DirectorBoard Member Jun 1, 2019
Jackson O Griggs Individual Corporate OfficerCeo Feb 25, 2019
W-2 Managing EmployeeCeo Feb 25, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Waco Family Medicine - Madison CooperWaco, TX, CCN 671013 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 165

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 165

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1992685218",
    "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": "409 W ADAMS AVE STE 200",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014211",
            "telephone_number": "254-899-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "254-313-4412"
    },
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waco Family Medicine - Temple Downtown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.