Waco Family Medicine - Pharmacy
LBN: Heart Of Texas Community Health Center
Waco Family Medicine - Pharmacy is an health care organization with primary practice located at 1600 Providence Dr , Waco TX 76707-2261. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Heart Of Texas Community Health Center can be contacted via phone (254) 313-4307, or through Polk, Matthew via phone (254) 313-4412.
Contact Information
Primary practice address
1600 Providence Dr
Waco TX 76707-2261
Phone: (254) 313-4307
Fax: (254) 313-4520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1598783763 |
|---|---|
| LBN Legal business name | Heart Of Texas Community Health Center |
| DBA Doing business as | Waco Family Medicine - Pharmacy |
| Authorized official | Polk, Matthew PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 7th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598783763 | NPPES |
| Texas | Other | 4533293 | NCPDP |
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