Elm Avenue Community Clinic
LBN: Heart Of Texas Community Health Center, Inc.
Elm Avenue Community Clinic is an health care organization with primary practice located at 609 Elm St , Waco TX 76704-2516. 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) 313-6900, or through Ballew, Annette via phone (254) 313-4282.
Contact Information
Primary practice address
609 Elm St
Waco TX 76704-2516
Phone: (254) 313-6900
Fax: (254) 313-6959
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 | 1700055639 |
|---|---|
| LBN Legal business name | Heart Of Texas Community Health Center, Inc. |
| DBA Doing business as | Elm Avenue Community Clinic |
| Authorized official | Ballew, Annette CPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 25th, 2008 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700055639 | NPPES |
| Texas | MEDICAID | 092957202 | |
| Texas | MEDICAID | FQ0000676 | |
| Texas | MEDICAID | 286210401 | |
| Texas | Other | 06816A | |
| Texas | MEDICAID | 092957203 |
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