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HEART OF TEXAS COMMUNITY HEALTH CENTER INC. NPI 1700055639


NPI Information

NPI: 1700055639
Provider Name: HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.

Other Name: ELM AVENUE COMMUNITY CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
609 ELM ST
WACO, TX
ZIP 76704
Phone: (254) 313-6900
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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 1700055639. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elm Avenue Community Clinic.

The provider's business location address is:

609 ELM ST
WACO, TX
ZIP 76704-516
Phone: (254) 313-6900
Fax: (254) 313-6959

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 enumeration date for this NPI number is 2/25/2008 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
1286210401MEDICAIDTEXAS
2092957202MEDICAIDTEXAS
3451919MEDICARE OSCAR/CERTIFICATIONTEXAS
4092957203MEDICAIDTEXAS
506816AOTHERTEXASMEDICARE SITE ID
6FQ0000676MEDICAIDTEXAS

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
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