HEART OF TEXAS COMMUNITY HEALTH CENTER (NPI# 1598783763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598783763 |
| Entity Type | Organization |
| Organization Name | HEART OF TEXAS COMMUNITY HEALTH CENTER |
| Other Organization Name | FAMILY HEALTH CENTER PHARMACY |
| Practice Address |
1600 Providence Dr Waco TX 76707-2261 |
| Practice Telephone | 2543134525 |
| Practice Fax Number | 2543134357 |
| Mailing Telephone | 2543134525 |
| Mailing Fax Number | 2543134357 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | MRS. ANNETTE BALLEW (CFO) |
| Authorized Official Telephone | 2543134282 |
| Authorized Official Credential | C.P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NCPDP | 4533293 | 01 |
| Other Name | Type Code |
|---|---|
| Family Health Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326369232 | Heart of Texas Community Health Center | Family Medicine | 715 N Rita St, Waco, TX 76705-1140 | 2010-06-15 |
| Street Address |
1600 PROVIDENCE DR |
| City | WACO |
| State | TX |
| Zip Code | 76707-2261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900531 | Matthew Rafalski | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2005-05-27 |
| 1083228621 | Jourdan Brown Whorley | Physician Assistant | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-09-01 |
| 1538778543 | Hilda Ana Deen | Nurse Practitioner | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-07-26 |
| 1427673128 | Allison Dawn Thompson | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1245855949 | Thien Phu Nguyen | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1134744824 | William Casey Dean | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1306461090 | Corey Ryan Holt | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1821613514 | Kathryn Leah Kline | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1346865037 | Michael Thomas Boone | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1295350999 | Amanda Elizabeth Weaver | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588184493 | Yukiyo Shimosawa | Specialist/Technologist | 1010 N 17th St, Waco, TX 76707 | 2017-06-21 |
| 1851730022 | Krystal Ann Estrada | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1598902744 | Narconon Hawaii | Substance Abuse Rehabilitation Facility | 90-1011 Lexington Avenue, Kapolei, HI 76707 | 2009-01-09 |
| 1851413520 | Albert Bryan Lewter Jr. | Dentist | 1501 N 25th St, Waco, TX 76707 | 2007-04-04 |
| 1114010733 | Remmel Henry | Dentist | 225 W. West Waco Dr., Waco, TX 76707 | 2006-10-02 |
| 1861831034 | Ryan David Laschober | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1760821946 | Brandi Escalante Street | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1972778199 | Jason Craig | Counselor | 3621 Lasker Ave, Waco, TX 76707-1111 | 2008-04-29 |
| 1649831298 | Melanie Adams | Social Worker | 3617 Maple Ave, Waco, TX 76707-1117 | 2019-06-25 |
| 1538721246 | Jessica Marie Simon | Nurse Practitioner | 3613 Trice Ave, Waco, TX 76707-1127 | 2019-07-02 |
| Find all providers in zip 76707 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 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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| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
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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.