Providence Medical Equipment Services

LBN: Providence Health Services Of Waco, Inc
Providence Medical Equipment Services is an health care organization with primary practice located at 6600 Fish Pond Road Suite 104, Waco TX 76710. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Providence Health Services Of Waco, Inc can be contacted via phone (254) 741-2495, or through Nichols, Odis W. via phone (254) 751-4000.

Contact Information

Primary practice address
6600 Fish Pond Road Suite 104 Waco TX 76710
Phone: (254) 741-2495
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Odis W.
Phone: (254) 751-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1902047285
LBN Legal business name Providence Health Services Of Waco, Inc
DBA Doing business as Providence Medical Equipment Services
Authorized official Nichols, Odis W.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 16th, 2009
Last updated Aug 4th, 2010 - about 14 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 1902047285 NPPES
Texas MEDICAID 0160434-01

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