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CH068160P HEART OF TEXAS COMMUNITY HEALTH CENTER INC (Terminated)
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Main Details
Name
HEART OF TEXAS COMMUNITY HEALTH CENTER INC
Subdivision Name
Waco Family Medicine – Madison Cooper
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034731
340B ID
CH068160P
Grant Number
H80CS00719
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/6/2022
Last Recertification Date
2/9/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
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
1610 Providence Dr
Waco, TX 76707-2261
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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May 2025
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