Austin Avenue Clinic

LBN: Heart Of Texas Community Health Center, Inc
Austin Avenue Clinic is an health care organization with primary practice located at 110 S 12Th St , Waco TX 76701-1810. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Heart Of Texas Community Health Center, Inc can be contacted via phone (254) 313-6350, or through Ballew, Annette via phone (254) 313-4282.

Contact Information

Primary practice address
110 S 12Th St Waco TX 76701-1810
Phone: (254) 313-6350
Fax: (254) 313-4531
Website:
Map and Directions
Authorized official contact:
Name: Ballew, Annette CPA
Phone: (254) 313-4282

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1427464759
LBN Legal business name Heart Of Texas Community Health Center, Inc
DBA Doing business as Austin Avenue Clinic
Authorized official Ballew, Annette CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2014
Last updated Jul 28th, 2017 - about 7 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427464759 NPPES
Texas MEDICAID 342899701

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