HEART OF TEXAS COMMUNITY HEALTH CENTER INC NPI 1699096503

NPI Information

  • NPI: 1699096503
  • Provider Name: HEART OF TEXAS COMMUNITY HEALTH CENTER, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: SOUTH 18TH STREET COMMUNITY CLINIC
  • CLIA Number: 45D1041718
  • Address: 1800 GURLEY LN
    WACO, TX
    ZIP 76706
  • Phone: (254) 313-6000

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NPI Details

HEART OF TEXAS COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Waco, TX. HEART OF TEXAS COMMUNITY HEALTH CENTER, INC NPI is 1699096503. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South 18th Street Community Clinic.

The provider's business location address is:

1800 GURLEY LN
WACO, TX
ZIP 76706-025
Phone: (254) 313-6000
Fax: (254) 313-6099

The provider's authorized official is Annette Ballew .
The authorized official title is Cfo and has the following contact phone number (254) 313-4282.

The CLIA number assigned to this NPI record is 45D1041718 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/15/2010 and was last updated on 7/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1671871MEDICARE OSCAR/CERTIFICATIONTEXAS
2FQ0000676OTHERTEXASMEDICAID
3285245101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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