Organization
HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.
Active
Other names
Bellmead Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE BALLEW CPA (CFO)
(254) 313-4282
Entity
Organization
Contact information
Practice address
3400 BELLMEAD DR, BELLMEAD, TX 76705-3081
(254) 313-5400
(254) 313-5499
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286211201
—
TX
01
—
FQ0000676
MEDICAID
TX
Enumeration date
06/07/2010
Last updated
07/28/2017
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