| Heart Of Texas Community Health Center Inc | |
|
6500 Imperial Dr. Ste 200 Waco TX 76712 | |
| (253) 313-6600 | |
| Not Available |
| Full Name | Heart Of Texas Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6500 Imperial Dr., Waco, Texas |
| Authorized Official Name and Position | Matthew Polk (COO) |
| Authorized Official Contact | 2543134412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Texas Community Health Center Inc 1600 Providence Dr Waco TX 76707-2261 Ph: (254) 313-4412 | Heart Of Texas Community Health Center Inc 6500 Imperial Dr. Ste 200 Waco TX 76712 Ph: (253) 313-6600 |
| NPI Number | 1386427334 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 1153370242 |
|---|---|
| Medicare Enrollment ID | O20231010001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386427334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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