Organization · Type 2 NPI

Heart of Texas Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Waco, TX

NPI number 1477837730 Active

Practice location

1911 N Martin Luther King Jr Blvd
Waco, TX 76704-1438

Call (254) 313-5000 Map

Fax (254) 313-5099

Mailing address

1600 Providence Dr
Waco, TX 76707-2261

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Other federally qualified health center (fqhc) providers in Waco

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NPI record

NPI: 1477837730
Entity type: Organization (Type 2)
Issued: Oct 5, 2011
Last updated: Jul 28, 2017
Status: Active
Subpart: Yes of Heart of Texas Community Health Center, Inc

Other names

<unavail>
Martin Luther King Community Clinic · doing business as

Authorized official

Annette Ballew, CPA
Chief Financial Officer
(254) 313-4282

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477837730

Heart of Texas Community Health Center, Inc.'s National Provider Identifier is 1477837730, issued on Oct 5, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Waco, TX. The record was last updated on Jul 28, 2017.