Organization
HEART OF TEXAS COMMUNITY HEALTH CENTER, INC
Active
Other names
Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE BALLEW CPA (CFO)
(254) 313-4282
Entity
Organization
Contact information
Practice address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4531
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068160
UNIFORM DATA SET
TX
05
—
092957202
—
TX
05
—
121447001
—
TX
05
—
FQ0000676
—
TX
Enumeration date
12/22/2005
Last updated
02/13/2025
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