PROVIDENCE HEALTH ALLIANCE (NPI# 1336590462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336590462 |
Entity Type | Organization |
Organization Name | PROVIDENCE HEALTH ALLIANCE |
Other Organization Name | PROVIDENCE FAMILY HEALTH CLINIC-HILLSBORO |
Practice Address |
6901 Medical Pkwy Waco TX 76712-7910 |
Practice Telephone | 2547514739 |
Mailing Telephone | 2547514739 |
Enumeration Date | 2016-06-30 |
Last Update Date | 2016-06-30 |
Authorized Official Name | KAREN RICHARDSON (SR VP/CFO) |
Authorized Official Telephone | 2547514172 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
PROVIDENCE FAMILY HEALTH CLINIC-HILLSBORO | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063027464 | Providence Health Alliance | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1130 N Loop 340, Waco, TX 76705 | 2020-09-11 |
1932210838 | Providence Health Alliance | Specialist | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2006-08-31 |
Street Address |
6901 MEDICAL PKWY |
City | WACO |
State | TX |
Zip Code | 76712-7910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093708679 | Ascension Providence | General Acute Care Hospital | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2005-08-29 |
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 |
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 | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
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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.