HEART OF TEXAS COMMUNITY HEALTH CENTER, INC (NPI# 1306166830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306166830 |
Entity Type | Organization |
Organization Name | HEART OF TEXAS COMMUNITY HEALTH CENTER, INC |
Other Organization Name | MCGREGOR COMMUNITY CLINIC |
Practice Address |
500 Johnson Dr Mc Gregor TX 76657-1441 |
Mailing Address |
1600 Providence Dr Waco TX 76707-2261 |
Practice Telephone | 2543135200 |
Practice Fax Number | 2543135299 |
Mailing Telephone | 2543134200 |
Mailing Fax Number | 2543134326 |
Enumeration Date | 2010-06-07 |
Last Update Date | 2017-07-28 |
Authorized Official Name | ANNETTE BALLEW (CFO) |
Authorized Official Telephone | 2543134282 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
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 | MEDICAID | FQ0000676 | 01 |
TX | 289056801 | 05 |
Other Name | Type Code |
---|---|
McGregor Community Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528389434 | Heart of Texas Community Health Center, Inc | Dentist | 225 W Waco Dr, Waco, TX 76707-3836 | 2010-06-15 |
1730409269 | Heart of Texas Community Health Center, Inc | Family Medicine | 600 W State Highway 6, Waco, TX 76712-3977 | 2010-06-07 |
1518136456 | Heart of Texas Community Health Center, Inc | Family Medicine | 911 S 20th St, Waco, TX 76706-1955 | 2008-02-25 |
1861880080 | Heart of Texas Community Health Center, Inc | Pediatrics | 1600 Providence Dr, Waco, TX 76707-2261 | 2014-12-23 |
1427464759 | Heart of Texas Community Health Center, Inc | Family Medicine | 110 S 12th St, Waco, TX 76701-1810 | 2014-07-08 |
1699096503 | Heart of Texas Community Health Center, Inc | Family Medicine | 1800 Gurley Ln, Waco, TX 76706-4025 | 2010-06-15 |
1801116983 | Heart of Texas Community Health Center, Inc | Obstetrics & Gynecology | 120 Hillcrest Medical Blvd, Office Bldg II, Ste 300, Waco, TX 76712-8948 | 2010-06-11 |
1457671984 | Heart of Texas Community Health Center, Inc | Family Medicine | 1226 Washington Ave, Waco, TX 76701-1127 | 2010-06-07 |
1164409926 | Heart of Texas Community Health Center, Inc | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2005-12-22 |
Street Address |
500 JOHNSON DR |
City | MC GREGOR |
State | TX |
Zip Code | 76657-1441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215302948 | John M. Shultz D.d.s. | Dentist | 1024 S Main, Mcgregor, TX 76657 | 2015-12-07 |
1528045846 | Kelley M Reynolds | Family Medicine | 500 South Johnson Drive, Mcgregor, TX 76657 | 2005-12-28 |
1215414636 | Kreis Medical Services LLC | Clinic/Center | 106 Star Ridge Cir, Mc Gregor, TX 76657 | 2018-07-27 |
1568487791 | Jessica Kristin Cook | Family Medicine | 500 South Johnson Drive, Mcgregor, TX 76657 | 2006-07-12 |
1710946561 | Keith A. Boles | Family Medicine | 500 South Johnson Drive, Mcgregor, TX 76657 | 2006-03-21 |
1235219114 | Mcgregor Volunteer Emergency Medical Services | Ambulance | 404 S. Main St., Mcgregor, TX 76657-0237 | 2006-10-16 |
1417055252 | Carol Joyce England | Speech-Language Pathologist | 1102 Navajo Trl, Mc Gregor, TX 76657-1030 | 2006-09-20 |
1548810690 | Sarah Smith | Specialist/Technologist | 807 Navajo Trl, Mc Gregor, TX 76657-1070 | 2019-09-19 |
1306945621 | Brookshire Brothers Inc | Pharmacy | 1250 W Mcgregor Dr, Mc Gregor, TX 76657-1169 | 2006-09-22 |
1366908295 | Cyril D Bulawin | Physical Therapist | 414 Johnson Dr, Mc Gregor, TX 76657-1426 | 2019-02-15 |
Find all providers in zip 76657 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
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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.