Providence Medical Equipment

LBN: Providence Health Services Of Waco
Providence Medical Equipment is an health care organization with primary practice located at 540 Meadowlake Ctr , Waco TX 76712-3981. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Providence Health Services Of Waco can be contacted via phone (254) 741-2495, or through Keahey, Kent via phone (254) 751-4000.

Contact Information

Primary practice address
540 Meadowlake Ctr Waco TX 76712-3981
Phone: (254) 741-2495
Fax: (254) 741-2496
Website:
Map and Directions
Authorized official contact:
Name: Keahey, Kent
Phone: (254) 751-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 000111 Texas

Profile Details

NPI number 1073506457
LBN Legal business name Providence Health Services Of Waco
DBA Doing business as Providence Medical Equipment
Authorized official Keahey, Kent
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2005
Last updated Jan 26th, 2012 - about 12 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 1073506457 NPPES
Texas MEDICAID 087277201
Texas Other 515091
Texas MEDICAID 016043401

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