WEST WACO COMMUNITY CLINIC – NPI #1730409269
Clinic/Center

WEST WACO COMMUNITY CLINIC is an AHC clinic located in WACO, TX. NPPES has assigned the NPI number 1730409269 to WEST WACO COMMUNITY CLINIC on June 07, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WEST WACO COMMUNITY CLINIC” is a dba name, the actual legal business name for this organization is HEART OF TEXAS COMMUNITY HEALTH CENTER, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 9 years ago on Jul 28, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST WACO COMMUNITY CLINIC below.

NPI Profile for
HEART OF TEXAS COMMUNITY HEALTH CENTER, INC

NPI Number
1730409269
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEART OF TEXAS COMMUNITY HEALTH CENTER, INC
Doing Business As (dba): WEST WACO COMMUNITY CLINIC
Primary location
600 W STATE HIGHWAY 6
WACO, TX 76712-3977
Phone: (254) 313-6500 Fax: (254) 313-6599
Mailing address
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone: (254) 313-4200 Fax: (254) 313-4326
Organization Subpart
No
Authorized Official
ANNETTE BALLEW
CFO
Phone: (254) 313-4282
Updated
Identifiers

Identifiers for WEST WACO COMMUNITY CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAIDTXFQ0000676
MEDICAIDTX092957202
MEDICAIDTX351323601
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.