Providence Health Services Of Waco in Dallas - Prosthetic/orthotic Supplier
Providence Health Services Of Waco - NPI 1073506457
Providence Health Services Of Waco is a Prosthetic/orthotic Supplier in Dallas, Texas. Providence Health Services Of Waco practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Providence Health Services Of Waco is 1073506457. The last update date is 2012-01-26.
Providence Health Services Of Waco's current location address is Po Box 201157, Dallas, Texas. You can contact this provider via phone number 2547412495 and fax number 2547412496. The mailing address for Providence Health Services Of Waco is Po Box 201157, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health Services Of Waco |
|---|---|
| Address | Po Box 201157, Dallas, Texas |
| Phone Number | 2547412495 |
| Fax Number | 2547412496 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Keahey Kent |
| Telephone Number | 2547514000 |
NPI Number Detail
| NPI Number | 1073506457 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2012-01-26 |
Provider Mailing Address Detail
| Address | Po Box 201157 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 753201157 |
| Phone Number | 2547412495 |
| Fax Number | 2547412496 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 111 |
|
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 f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87277201 | TX | -- | |
| 515091 | BLUE CROSS BLUE SHIELD | ||
| 16043401 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Providence Health Services Of Waco by the Centers for Medicare & Medicaid Services?
The Providence Health Services Of Waco has been issued the NPI (National Provider Identifier) 1073506457. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Providence Health Services Of Waco?
The Providence Health Services Of Waco is situated at Po Box 201157, in the city of Dallas, state of TX, with the zip code 753201157.
What is Providence Health Services Of Waco's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Providence Health Services Of Waco is Prosthetic/orthotic Supplier, and the taxonomy classification code that categorizes this area of expertise is 335E00000X.
On what date did the Providence Health Services Of Waco receive its 1073506457 assignment from the Centers for Medicare & Medicaid Services?
The Providence Health Services Of Waco was assigned its 1073506457 by the Centers for Medicare & Medicaid Services on 2005-08-31.
When was the information pertaining to Providence Health Services Of Waco most recently updated or revised?
The details related to Providence Health Services Of Waco, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-26.
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