Heart Of Texas Region Mental Health Mental Retardation Center

LBN: Heart Of Texas Region Mental Health Mental Retardation Center
Heart Of Texas Region Mental Health Mental Retardation Center 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 Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Case Management is the primary health care specialty. Heart Of Texas Region Mental Health Mental Retardation Center can be contacted via phone (254) 752-3451, or through Thompson, Daniel via phone (254) 752-3451.

Contact Information

Primary practice address
110 S 12Th St Waco TX 76701-1810
Phone: (254) 752-3451
Fax: (254) 756-3133
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Daniel
Phone: (254) 752-3451

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 2007020591 Texas

Profile Details

NPI number 1972687119
LBN Legal business name Heart Of Texas Region Mental Health Mental Retardation Center
DBA Doing business as
Authorized official Thompson, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Mar 5th, 2020 - about 4 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 1972687119 NPPES
Texas MEDICAID 111409202

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