PROVIDENCE HEALTH SERVICES OF WACO (NPI# 1710970397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710970397 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH SERVICES OF WACO |
| Other Organization Name | DEPAUL CENTER |
| Practice Address |
301 Londonderry Dr Waco TX 76712-7915 |
| Mailing Address |
Po Box 2589 Waco TX 76702-2589 |
| Practice Telephone | 2547765970 |
| Practice Fax Number | 2547514887 |
| Mailing Telephone | 2547765970 |
| Mailing Fax Number | 2547514887 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | MRS. KAREN A RICHARDSON (SENIOR VP, CFO) |
| Authorized Official Telephone | 2547514172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 000736 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121831504 | 05 |
| Other Name | Type Code |
|---|---|
| DePaul Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184158362 | Providence Health Services of Waco | Durable Medical Equipment & Medical Supplies | 1130 N Loop 340, Lacy Lakeview, TX 76705 | 2017-04-14 |
| 1073506457 | Providence Health Services of Waco | Prosthetic/Orthotic Supplier | 540 Meadowlake Ctr, Waco, TX 76712-3981 | 2005-08-31 |
| 1437478591 | Providence Health Services of Waco | Surgery | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2010-05-27 |
| 1033436407 | Providence Health Services of Waco | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-26 |
| 1891911350 | Providence Health Services of Waco | General Acute Care Hospital | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2007-04-17 |
| 1962505354 | Providence Health Services of Waco | Clinic/Center | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2006-09-07 |
| 1306872213 | Providence Health Services of Waco | Clinic/Center | 322 Coleman St, Marlin, TX 76661-2358 | 2006-06-23 |
| 1386605749 | Providence Health Services of Waco | Emergency Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2006-03-28 |
| Street Address |
301 LONDONDERRY DR |
| City | WACO |
| State | TX |
| Zip Code | 76712-7915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497148894 | Alisha Golding | Physician Assistant | 301 Londonderry Dr, Waco, TX 76712-7915 | 2015-03-09 |
| 1750725701 | Cody Robert Mcmahan | Psychiatry & Neurology | 301 Londonderry Dr, Waco, TX 76712-7915 | 2013-04-22 |
| 1033436407 | Providence Health Services of Waco | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-26 |
| 1730406265 | Ascension Providence | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-23 |
| 1063629335 | Mary Angela Casanova | Social Worker | 301 Londonderry Dr, Waco, TX 76712-7915 | 2007-05-17 |
| 1184796252 | Roxann M Samples | Internal Medicine | 301 Londonderry Dr, Waco, TX 76712-7915 | 2006-11-14 |
| 1417038175 | Aurora Mary Mignosa | Psychiatry & Neurology | 301 Londonderry Dr, Waco, TX 76712-7915 | 2006-10-18 |
| 1942218110 | Frances Koller | Psychiatry & Neurology | 301 Londonderry Dr, Waco, TX 76712-7915 | 2006-08-04 |
| 1235147455 | Greg Blaisdell | Psychiatry & Neurology | 301 Londonderry Dr, Waco, TX 76712-7915 | 2006-08-03 |
| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1184038507 | Visn 17 Center of Excellence for Research On Returning War Veterans | Psychiatric Hospital | 4800 Veterans Memorial Drive, 151-c, Waco, TX 76711 | 2014-06-13 |
| 1033436407 | Providence Health Services of Waco | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-26 |
| 1730406265 | Ascension Providence | Psychiatric Hospital | 301 Londonderry Dr, Waco, TX 76712-7915 | 2010-04-23 |
| 1265443170 | Veteran Health Care Administration | Psychiatric Hospital | 4800 Memorial Dr, Waco, TX 76711-1329 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1033744743 | Medical Behavioral Hospital of Clear Lake, LLC | Psychiatric Hospital | 16850 Buccaneer Ln, Houston, TX 77058-2507 | 2020-03-03 |
| 1366080525 | Oceans Behavioral Hospital of Amarillo, LLC | Psychiatric Hospital | 7501 Wallace Blvd Ste 200, Amarillo, TX 79124-2150 | 2019-12-18 |
| 1922642040 | Carrus Behavioral Hospital LLC | Psychiatric Hospital | 1724 W Us Highway 82 Ste 200, Sherman, TX 75092-7037 | 2019-10-31 |
| 1346805520 | Perimeter Behavioral Hospital of Arlington, LLC | Psychiatric Hospital | 7000 U.S. 287 Frontage Road, Arlington, TX 76001-7600 | 2019-05-03 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1548757446 | Thomas-pullen Instution of Hope, LLC | Psychiatric Hospital | 212 Burberry, Grand Prairie, TX 75052-0033 | 2018-04-16 |
| 1740791748 | Woodland Springs, LLC | Psychiatric Hospital | 15860 Old Conroe Rd, Conroe, TX 77384-3485 | 2017-10-17 |
| 1134677552 | Texas Health Springwood Behavioral Health Hospital | Psychiatric Hospital | 2717 Tibbets Dr, Bedford, TX 76022-6914 | 2016-09-14 |
| 1952858078 | Texas Health Seay Behavioral Health Hospital | Psychiatric Hospital | 6110 West Parker Road, Plano, TX 75093 | 2016-09-07 |
| 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.