PROVIDENCE HEALTH ALLIANCE
NPI 1013783091
Clinic/Center - Urgent Care in Lacy Lakeview, TX

Active since November 30, 2023
1130 N LOOP 340, LACY LAKEVIEW, TX 76705(254) 870-6500 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Health Alliance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH ALLIANCE (NPI 1013783091), doing business as Ascension Medical Group Providence Urgent Care, is a healthcare organization registered as an urgent care in Lacy Lakeview, Texas and active in the NPI registry since November 2023. The organization lists Clayton Carsner, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1013783091
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePROVIDENCE HEALTH ALLIANCE
Location Address1130 N LOOP 340Lacy Lakeview, TX 76705
Mailing Address1345 Philomena St, Ste 410.3Austin, TX 78723
Organization SubpartNo
Authorized OfficialClayton CarsnerVp/coo · (512) 324-5846
Enumeration DateNovember 30, 2023
NPI 1013783091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1130 N LOOP 340, Lacy Lakeview, TX 76705

Other Names 1

Doing Business AsAscension Medical Group Providence Urgent Care

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1130 N LOOP 340
WACO, TX 76705
Durable Medical Equipment & Medical Supplies
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
Physical Therapist
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
Family Medicine
1130 N LOOP 340
LACY LAKEVIEW, TX 76705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health Alliance's NPI number?

The NPI number for Providence Health Alliance is 1013783091. It was assigned to this organization in the NPPES registry on November 30, 2023. The provider is doing business as Ascension Medical Group Providence Urgent Care.

Where is Providence Health Alliance located?

Providence Health Alliance is located at 1130 N Loop 340, Lacy Lakeview, TX 76705. The listed phone number is (254) 870-6500.

What is Providence Health Alliance's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Providence Health Alliance was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.