PROVIDENCE MEDICAL EQUIPMENT SERVICES
NPI 1902047285
Prosthetic/Orthotic Supplier in Waco, TX

Q: What is Providence Health Services Of Waco, Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since March 16, 2009

6600 FISH POND ROAD, SUITE 104, WACO, TX 76710(254) 741-2495 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Providence Medical Equipment Services NPPES

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

PROVIDENCE MEDICAL EQUIPMENT SERVICES (NPI 1902047285) is a healthcare organization registered as a prosthetic/orthotic supplier in Waco, Texas and active in the NPI registry since March 2009. The organization lists Odis W. Nichols, Coo, as its authorized official.

NPPES Registry Identity

NPI1902047285

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePROVIDENCE HEALTH SERVICES OF WACO, INC

Location Address6600 FISH POND ROAD, SUITE 104Waco, TX 76710

Mailing Address540 Meadowlake CenterWaco, TX 76712 · (254) 741-2495 · Fax (254) 741-2496

Phone(254) 741-2495

Organization SubpartYes

Authorized OfficialOdis W. NicholsCoo · (254) 751-4000

Enumeration DateMarch 16, 2009

Last NPPES UpdateAugust 4, 2010

✔ NPI 1902047285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

6600 FISH POND ROAD, Waco, TX 76710

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Other Names 1

Doing Business AsProvidence Medical Equipment Services

Other Identifiers 2

Medicare NSC0444390005

Medicaid0160434-01TX

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, Inc's NPI number?

The NPI number for Providence Health Services Of Waco, Inc is 1902047285. It was assigned to this organization in the NPPES registry on March 16, 2009. The provider is doing business as Providence Medical Equipment Services.

Where is Providence Health Services Of Waco, Inc located?

Providence Health Services Of Waco, Inc is located at 6600 Fish Pond Road Suite 104, Waco, TX 76710. The listed phone number is (254) 741-2495.

What is Providence Health Services Of Waco, Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Providence Health Services Of Waco, Inc was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.