HEART OF TEXAS COMMUNITY HEALTH CENTER INC NPI 1730409269

NPI Information

NPI: 1730409269
Provider Name: HEART OF TEXAS COMMUNITY HEALTH CENTER, INC

Doing Business As: WEST WACO COMMUNITY CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
600 W STATE HIGHWAY 6
WACO, TX
ZIP 76712
Phone: (254) 313-6500
Get Directions

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 1730409269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As West Waco Community Clinic.

The provider's business location address is:

600 W STATE HIGHWAY 6
WACO, TX
ZIP 76712-977
Phone: (254) 313-6500
Fax: (254) 313-6599

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 45D1061102 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/7/2010 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
1	207Q00000X	Family Medicine				No
2	261QF0400X	Clinic/Center	Federally 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
1	FQ0000676	OTHER	TEXAS	MEDICAID
2	351323601	MEDICAID	TEXAS
3	092957202	MEDICAID	TEXAS
4	671874	MEDICARE OSCAR/CERTIFICATION	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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