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CH068160Q 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 - Imperial Drive
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037070
340B ID
CH068160Q
Grant Number
H80CS00719
Additional Details
Current Program Status
Active
Registration Date
11/21/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/27/2023
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
6500 Imperial Dr. STE 200
Waco, TX 76712
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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