HEART OF TEXAS COMMUNITY HEALTH CENTER, INC. (NPI# 1942584255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942584255 |
| Entity Type | Organization |
| Organization Name | HEART OF TEXAS COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | COMMUNITY CLINIC AT MCC |
| Practice Address |
4601 N 19th St Waco TX 76708-1261 |
| Mailing Address |
1600 Providence Dr Waco TX 76707-2261 |
| Practice Telephone | 2543135800 |
| Practice Fax Number | 2543135849 |
| Mailing Telephone | 2543134200 |
| Mailing Fax Number | 2543134326 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | MRS. ANNETTE BALLEW (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2543134282 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | Y |
| Parent Organization Name | HEART OF TEXAS COMMUNITY HEALTH CENTER, INC |
| 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 | UNIFORM DATA SET | 068160 | 01 |
| TX | FQ0000676 | 05 | |
| TX | 092957204 | 05 |
| Other Name | Type Code |
|---|---|
| Community Clinic at MCC | Doing Business As Name - 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 |
| 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 |
| 1700055639 | Heart of Texas Community Health Center, Inc. | Family Medicine | 609 Elm St, Waco, TX 76704-2516 | 2008-02-25 |
| Street Address |
4601 N 19TH ST |
| City | WACO |
| State | TX |
| Zip Code | 76708-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| 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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|---|---|---|---|---|
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| 1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 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.