ASCENSION PROVIDENCE (NPI# 1093708679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093708679 |
| Entity Type | Organization |
| Organization Name | ASCENSION PROVIDENCE |
| Practice Address |
6901 Medical Pkwy Waco TX 76712-7910 |
| Mailing Address |
P.o. Box 2589 Waco TX 76702-2589 |
| Practice Telephone | 2547514146 |
| Practice Fax Number | 2547514283 |
| Mailing Telephone | 2547514146 |
| Mailing Fax Number | 2547514283 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | MR. CRAIG CORDOLA (CEO) |
| Authorized Official Telephone | 5123241000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 000040 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112551001 | 05 | |
| TX | 111829102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730406265 | Ascension Providence | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-23 |
| 1386784304 | Ascension Providence | Pharmacy | 6101 Woodway Dr, Suite 100, Waco, TX 76712-6111 | 2007-02-07 |
| Street Address |
6901 MEDICAL PKWY |
| City | WACO |
| State | TX |
| Zip Code | 76712-7910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495809 | Heart of Texas Surgical Assists LLC | Specialist/Technologist, Other | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-10-21 |
| 1003422528 | Angie Marie Perez | Specialist/Technologist, Other | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-09-21 |
| 1336767615 | Carrie Irene Lasly | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-07-13 |
| 1285274373 | Sarah Etheridge | Registered Nurse | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-01-07 |
| 1053888412 | Amy Belen Stewart | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2018-10-24 |
| 1033637954 | Jennifer Sue Armstrong | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2017-08-30 |
| 1417405291 | Jesse Ian Baker | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-09-21 |
| 1508314410 | Mclennan County Emergency Physicians, Pa | Emergency Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-09-20 |
| 1336590462 | Providence Health Alliance | Clinic/Center | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-06-30 |
| 1437508900 | Dallas Glen Wright | Family Medicine | 6901 Medical Pkwy, Waco, TX 76712 | 2016-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851678676 | Sheena Marie Dudik | General Acute Care Hospital | 100 Hillcrest Medical Blvd, Waco, TX 76712 | 2011-11-08 |
| 1568764793 | Hillcrest Baptist Medical Center | General Acute Care Hospital | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2010-11-19 |
| 1891911350 | Providence Health Services of Waco | General Acute Care Hospital | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2007-04-17 |
| 1891882833 | Hillcrest Baptist Medical Center | General Acute Care Hospital | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2006-10-10 |
| 1124078563 | Temple Vamc | General Acute Care Hospital | 4800 Memorial Dr, Waco, TX 76711 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233785 | Hendrick Medical Center Brownwood | General Acute Care Hospital | 1501 Burnett Rd, Brownwood, TX 76801-8520 | 2020-07-29 |
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.