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CH068160J HEART OF TEXAS COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Waco Family Medicine - MCC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010438
340B ID
CH068160J
Grant Number
H80CS00719
Additional Details
Current Program Status
Active
Registration Date
4/6/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/4/2013
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Heart of Texas Community Health Center, Inc.
Matthew Robert Polk, Chief Operating Officer
(254) 313-4412
Primary Contact
Heart of Texas Community Health Center, Inc.
Judd Owen Ramsey, Director of Pharmacy Services
(254) 313-4521
Addresses
Street Address
4601 N 19th St
Waco, TX 76708-1261
Billing Address
HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.
1600 PROVIDENCE DR
WACO, TX 76707-2261
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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