PROVIDENCE MEDICAL EQUIPMENT
NPI 1073506457
Durable Medical Equipment & Medical Supplies in Waco, TX

Active since August 31, 2005
540 MEADOWLAKE CTR, WACO, TX 76712(254) 741-2495(254) 741-2496 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Medical Equipment NPPES

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

PROVIDENCE MEDICAL EQUIPMENT (NPI 1073506457) is a healthcare organization registered as a durable medical equipment & medical supplies in Waco, Texas and active in the NPI registry since August 2005. The organization lists Kent Keahey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073506457
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROVIDENCE HEALTH SERVICES OF WACO
Location Address540 MEADOWLAKE CTRWaco, TX 76712-3981
Mailing AddressPo Box 201157Dallas, TX 75320-1157 · (254) 741-2495 · Fax (254) 741-2496
Fax(254) 741-2496
Organization SubpartNo
Authorized OfficialKent KeaheyCeo · (254) 751-4000
Enumeration DateAugust 31, 2005
Last NPPES UpdateJanuary 26, 2012
NPI 1073506457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 000111 (TX)
540 MEADOWLAKE CTR, Waco, TX 76712

Other Names 1

Doing Business AsProvidence Medical Equipment

Other Identifiers 4

Medicare ID-Type Unspecified0444390001
Medicaid016043401TX
Medicaid087277201TX
Other515091Blue Cross Blue Shield

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 1073506457. It was assigned to this organization in the NPPES registry on August 31, 2005. The provider is doing business as Providence Medical Equipment.

Where is Providence Health Services Of Waco located?

Providence Health Services Of Waco is located at 540 Meadowlake Ctr, Waco, TX 76712. The listed phone number is (254) 741-2495.

What is Providence Health Services Of Waco's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Providence Health Services Of Waco was last updated on January 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.