Community Clinic At Mcc
LBN: Heart Of Texas Community Health Center, Inc.
Community Clinic At Mcc is an health care organization with primary practice located at 4601 N 19Th St , Waco TX 76708-1261. 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) 313-5800, or through Ballew, Annette via phone (254) 313-4282.
Contact Information
Primary practice address
4601 N 19Th St
Waco TX 76708-1261
Phone: (254) 313-5800
Fax: (254) 313-5849
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 | 1942584255 |
|---|---|
| LBN Legal business name | Heart Of Texas Community Health Center, Inc. |
| DBA Doing business as | Community Clinic At Mcc |
| Authorized official | Ballew, Annette CFO |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 5th, 2011 |
| 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 | 1942584255 | NPPES |
| Texas | Other | 068160 | UNIFORM DATA SET |
| Texas | MEDICAID | FQ0000676 | UNIFORM DATA SET |
| Texas | MEDICAID | 092957204 | UNIFORM DATA SET |
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