PROVIDENCE HEALTH SERVICES OF WACO
NPI 1184158362
Durable Medical Equipment & Medical Supplies in Lacy Lakeview, TX

NPI Status: Active since April 14, 2017

Contact Information

1130 N LOOP 340
LACY LAKEVIEW, TX
ZIP 76705
Phone: (254) 870-6480
Fax: (254) 870-6481

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About PROVIDENCE HEALTH SERVICES OF WACO

This page provides the complete NPI Profile along with additional information for Providence Health Services Of Waco, a provider established in Lacy Lakeview, Texas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1184158362 assigned on April 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Craig Cordola (Ceo)

NPI
1184158362
Provider Name
PROVIDENCE HEALTH SERVICES OF WACO
Entity Type
Organization
Location Address
1130 N LOOP 340 LACY LAKEVIEW, TX 76705
Location Phone
(254) 870-6480
Location Fax
(254) 870-6481
Mailing Address
1130 N LOOP 340 LACY LAKEVIEW, TX 76705
Mailing Phone
(254) 870-6480
Mailing Fax
(254) 870-6481
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2017
Last Update Date
11-20-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRAIG CORDOLA

Authorized Official Title
CEO
Authorized Official Phone
(512) 324-1000

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184158362, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 2 + 5 + 1 + 6 + 3 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1184158362.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physician Assistant
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
Physical Therapist
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1130 N LOOP 340
WACO, TX 76705
Family Medicine
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
Clinic/Center (Urgent Care)
1130 N LOOP 340
LACY LAKEVIEW, TX 76705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184158362, enumerated as an "organization" on April 14, 2017.

The provider is located at 1130 N LOOP 340 LACY LAKEVIEW, TX 76705 and the phone number is (254) 870-6480.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.