HEART OF TEXAS COMMUNITY HEALTH CENTER INC. NPI 1942584255

NPI Information

NPI: 1942584255
Provider Name: HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.

Doing Business As: COMMUNITY CLINIC AT MCC

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2023056

Address:
4601 N 19TH ST
WACO, TX
ZIP 76708
Phone: (254) 313-5800
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 1942584255. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Clinic At Mcc.

The provider's business location address is:

4601 N 19TH ST
WACO, TX
ZIP 76708-261
Phone: (254) 313-5800
Fax: (254) 313-5849

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

The CLIA number assigned to this NPI record is 45D2023056 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/5/2011 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	741874	MEDICARE PIN	TEXAS
2	092957204	MEDICAID	TEXAS
3	068160	OTHER	TEXAS	UNIFORM DATA SET
4	FQ0000676	MEDICAID	TEXAS
5	00145K	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: 4/28/2024

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