South 18Th Street Community Clinic
LBN: Heart Of Texas Community Health Center, Inc
South 18Th Street Community Clinic is an health care organization with primary practice located at 1800 Gurley Ln , Waco TX 76706-4025. 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) 313-6000, or through Ballew, Annette via phone (254) 313-4282.
Contact Information
Primary practice address
1800 Gurley Ln
Waco TX 76706-4025
Phone: (254) 313-6000
Fax: (254) 313-6099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1699096503 |
|---|---|
| LBN Legal business name | Heart Of Texas Community Health Center, Inc |
| DBA Doing business as | South 18Th Street Community Clinic |
| Authorized official | Ballew, Annette CPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2010 |
| Last updated | Jul 28th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699096503 | NPPES |
| Texas | Other | FQ0000676 | MEDICAID |
| Texas | MEDICAID | 285245101 | MEDICAID |
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