HEART OF TEXAS COMMUNITY HEALTH CENTER, INC. (NPI# 1700055639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700055639 |
| Entity Type | Organization |
| Organization Name | HEART OF TEXAS COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | ELM AVENUE COMMUNITY CLINIC |
| Practice Address |
609 Elm St Waco TX 76704-2516 |
| Mailing Address |
1600 Providence Dr Waco TX 76707-2261 |
| Practice Telephone | 2543136900 |
| Practice Fax Number | 2543136959 |
| Mailing Telephone | 2543134200 |
| Mailing Fax Number | 2543134326 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | MRS. ANNETTE BALLEW (CFO) |
| Authorized Official Telephone | 2543134282 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 092957202 | 05 | |
| TX | 286210401 | 05 | |
| TX | 092957203 | 05 | |
| TX | MEDICARE SITE ID | 06816A | 01 |
| TX | FQ0000676 | 05 |
| Other Name | Type Code |
|---|---|
| Elm Avenue Community Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306234521 | Heart of Texas Community Health Center, Inc. | Family Medicine | 600 S 25th St Ste 115, Temple, TX 76504-5227 | 2014-12-23 |
| 1942584255 | Heart of Texas Community Health Center, Inc. | Family Medicine | 4601 N 19th St, Waco, TX 76708-1261 | 2011-10-05 |
| 1477837730 | Heart of Texas Community Health Center, Inc. | Family Medicine | 1911 N Martin Luther King Jr Blvd, Waco, TX 76704-1438 | 2011-10-05 |
| 1164742680 | Heart of Texas Community Health Center, Inc. | Family Medicine | 3400 Bellmead Dr, Bellmead, TX 76705-3081 | 2010-06-07 |
| Street Address |
609 ELM ST |
| City | WACO |
| State | TX |
| Zip Code | 76704-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498385 | Marc Levi Johnson | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2020-05-15 |
| 1982230132 | Stephanie Perko | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2020-03-19 |
| 1346807781 | Irfan Shaik | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2019-05-21 |
| 1679032452 | Jack Kelly | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2019-03-19 |
| 1912491705 | Mir Quasim Ali Saad Naseri | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2018-06-15 |
| 1922502780 | Latashua Joseph | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2018-03-19 |
| 1407214844 | Pan Chang | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2016-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780123356 | Scott Kennedy | Dentist | 609 Elm Avenue, Waco, TX 76704 | 2017-02-15 |
| 1023499407 | Cenikor Foundation | Community/Behavioral Health | 2601 Gholson Rd., Waco, TX 76704 | 2015-06-11 |
| 1003085135 | Woodland Springs Healthcare Lp | Skilled Nursing Facility | 1010 Dallas St, Waco, TX 76704 | 2008-02-22 |
| 1215033725 | Clifton Martin | Dentist | 609 Elm Ave, Waco, TX 76704 | 2006-09-15 |
| 1649257429 | Floyd Lee Barry | Pediatrics | 1911 Martin Luther King Blvd, Waco, TX 76704 | 2005-12-22 |
| 1720239106 | Joel Brennan Mahan | Family Medicine | 609 Elm Ave, Waco, TX 76704 | 2008-10-03 |
| 1245217058 | Lauren Gallemore Barron | Family Medicine | 1911 Martin Luther King Blvd, Waco, TX 76704 | 2005-12-22 |
| 1104123926 | Mclennan County | Social Worker | 2601 Gholson Rd, Waco, TX 76704-1106 | 2011-02-14 |
| 1528625035 | Sherine Amondi Oganga | Registered Nurse | 413 Dearborn St, Waco, TX 76704-1431 | 2019-05-21 |
| 1477837730 | Heart of Texas Community Health Center, Inc. | Family Medicine | 1911 N Martin Luther King Jr Blvd, Waco, TX 76704-1438 | 2011-10-05 |
| Find all providers in zip 76704 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598783763 | Heart of Texas Community Health Center | Clinic/Center | 1600 Providence Dr, Waco, TX 76707-2261 | 2006-07-17 |
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| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
| 1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.