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

Active since April 14, 2017
1130 N LOOP 340, LACY LAKEVIEW, TX 76705(254) 870-6480(254) 870-6481 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2017, Apr 14, 2017 (2 updates tracked since 2017).

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 1184158362) is a healthcare organization registered as a durable medical equipment & medical supplies in Lacy Lakeview, Texas and active in the NPI registry since April 2017. The organization lists Craig Cordola, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184158362
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROVIDENCE HEALTH SERVICES OF WACO
Location Address1130 N LOOP 340Lacy Lakeview, TX 76705
Mailing Address1130 N Loop 340Lacy Lakeview, TX 76705 · (254) 870-6480 · Fax (254) 870-6481
Phone(254) 870-6480
Fax(254) 870-6481
Organization SubpartNo
Authorized OfficialCraig CordolaCeo · (512) 324-1000
Enumeration DateApril 14, 2017
Last NPPES UpdateNovember 20, 20172 updates tracked since enumeration
✔ NPI 1184158362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1130 N LOOP 340, Lacy Lakeview, TX 76705
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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.

PROVIDENCE HEALTH ALLIANCE
Clinic/Center (Urgent Care)
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
McLennan County (254) 870-6500
PROVIDENCE HEALTH ALLIANCE
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1130 N LOOP 340
WACO, TX 76705
McLennan County (254) 537-6880
ONYEDIKACHI UGWU
Physical Therapist
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
McLennan County (682) 802-9986
ROSHAN PATEL MD
Family Medicine
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
McLennan County (254) 870-6500

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 1184158362. It was assigned to this organization in the NPPES registry on April 14, 2017.

Where is Providence Health Services Of Waco located?

Providence Health Services Of Waco is located at 1130 N Loop 340, Lacy Lakeview, TX 76705. The listed phone number is (254) 870-6480.

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 November 20, 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.