ASCENSION PROVIDENCE
NPI 1093708679
General Acute Care Hospital in Waco, TX

Q: What is Ascension Providence's NPI number?

The NPI number for Ascension Providence is 1093708679. It was assigned to this organization in the NPPES registry on August 29, 2005.

Q: What is Ascension Providence's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since August 29, 2005CLIA Certified · 6 labs

6901 MEDICAL PKWY, WACO, TX 76712(254) 751-4146(254) 751-4283 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2019, Nov 20, 2017 (2 updates tracked since 2017).

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About Ascension Providence NPPES

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

ASCENSION PROVIDENCE (NPI 1093708679) is a healthcare organization registered as a general acute care hospital in Waco, Texas and active in the NPI registry since August 2005. The organization holds 6 active CLIA laboratory certificates and lists Craig Cordola, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093708679

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameASCENSION PROVIDENCE

Location Address6901 MEDICAL PKWYWaco, TX 76712-7910

Mailing AddressP.o. 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) 324-1000

Enumeration DateAugust 29, 2005

Last NPPES UpdateMarch 5, 20192 updates tracked since enumeration

✔ NPI 1093708679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in TX · 000040

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

6901 MEDICAL PKWY, Waco, TX 76712

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Other Identifiers 2

Medicaid112551001TX

Medicaid111829102TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2287851

Ascension Providence Point Of Care · Waco, TX

Active · expires Mar 31, 2028

CLIA Number45D2287851

Laboratory TypeHospital

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorChristine W. Rupcich

Laboratory Phone(254) 751-4000

Laboratory LocationAscension Providence Point Of Care6901 Medical Parkway,nursing Administration, 1st Floor, Waco, TX 76712

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D0488500

Ascension Providence · Waco, TX

Active · expires Jan 2, 2027

CLIA Number45D0488500

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorDr. Christine W. Rupcich

Laboratory Phone(817) 751-4720

Laboratory LocationAscension Providence6901 Medical Parkway Attn: Laboratory, Waco, TX 76712

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D0685591

Ascension Providence/ Pulm Lab · Waco, TX

Active · expires Oct 21, 2026

CLIA Number45D0685591

Laboratory TypeHospital

Certificate Effective DateOctober 22, 2024

Certificate Expiration DateOctober 21, 2026

Laboratory DirectorDr. Matthew Pattillo

Laboratory Phone(254) 751-4230

Laboratory LocationAscension Providence/ Pulm Lab6901 Medical Parkway, Waco, TX 76712

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D2287840

Ascension Providence Imaging At Woodway Point Of Care · Waco, TX

Active · expires Mar 31, 2028

CLIA Number45D2287840

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorChristine W. Rupcich

Laboratory Phone(254) 537-6955

Laboratory LocationAscension Providence Imaging At Woodway Point Of Care3101 Woodway Dr, Waco, TX 76712

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D2014656

Ascension Providence Pediatric Clinic Woodway Medical Plaza · Waco, TX

Active · expires Sep 11, 2027

CLIA Number45D2014656

Laboratory TypePhysician Office

Certificate Effective DateSeptember 12, 2025

Certificate Expiration DateSeptember 11, 2027

Laboratory DirectorKelly Jaish

Laboratory Phone(254) 537-6400

Laboratory LocationAscension Providence Pediatric Clinic Woodway Medical Plaza6101 Woodway Drive, Ste 230, Waco, TX 76712

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2101607

Ascension Providence Endorinology Clinic · Waco, TX

Active · expires Sep 3, 2027

CLIA Number45D2101607

Laboratory TypeHospital

Certificate Effective DateSeptember 4, 2025

Certificate Expiration DateSeptember 3, 2027

Laboratory DirectorAnna I. Vanderheiden

Laboratory Phone(254) 537-6530

Laboratory LocationAscension Providence Endorinology Clinic405 Londonberry Dr, Ste 301, Waco, TX 76712

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

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

EIDEL NERLI ADAMS

Nurse Practitioner (Family)