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PROVIDENCE HEALTH SERVICES OF WACO
NPI 1033436407
Psychiatric Hospital in Waco, TX

Active since April 26, 2010
301 LONDONDERRY DR, WACO, TX 76712(254) 751-4146(254) 751-4283 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Health Services Of Waco NPPES

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

PROVIDENCE HEALTH SERVICES OF WACO (NPI 1033436407) is a healthcare organization registered as a psychiatric hospital in Waco, Texas and active in the NPI registry since April 2010. The organization lists Craig Cordola, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033436407
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NamePROVIDENCE HEALTH SERVICES OF WACO
Location Address301 LONDONDERRY DRWaco, TX 76712-7915
Mailing AddressPo Box 2589Waco, TX 76702-2589 · (254) 751-4146 · Fax (254) 751-4283
Phone(254) 751-4146
Fax(254) 751-4283
Organization SubpartNo
Authorized OfficialCraig CordolaCeo · (512) 325-1000
Enumeration DateApril 26, 2010
Last NPPES UpdateNovember 21, 2017
✔ NPI 1033436407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in TX · 000040
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
301 LONDONDERRY DR, Waco, TX 76712
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Other Identifiers 1

Medicare OSCAR/certification45S042TX

Other Providers at the Same Location NPPES 5

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

DR. ROXANN M SAMPLES M.D.
Internal Medicine
301 LONDONDERRY DR
WACO, TX 76712
McLennan County (254) 776-5970
AURORA MARY MIGNOSA M.D.
Psychiatry & Neurology (Psychiatry)
301 LONDONDERRY DR
WACO, TX 76712
McLennan County (254) 751-4880
NATHALIE BOULOS MD
Psychiatry & Neurology (Psychiatry)
301 LONDONDERRY DR
WACO, TX 76712
McLennan County (254) 751-4880
PROVIDENCE HEALTH SERVICES OF WACO
Psychiatric Hospital
301 LONDONDERRY DR
WACO, TX 76712
McLennan County (254) 776-5970
ASCENSION PROVIDENCE
Psychiatric Unit
301 LONDONDERRY DR
WACO, TX 76712
McLennan County (254) 751-4146

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 Services Of Waco's NPI number?

The NPI number for Providence Health Services Of Waco is 1033436407. It was assigned to this organization in the NPPES registry on April 26, 2010.

Where is Providence Health Services Of Waco located?

Providence Health Services Of Waco is located at 301 Londonderry Dr, Waco, TX 76712. The listed phone number is (254) 751-4146.

What is Providence Health Services Of Waco's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Health Services Of Waco was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.