NPI age
20 years
Enumerated 2005-08-31
● Active Type 2 · Organization
Providence Health Services Of Waco
Providence Health Services Of Waco is 1 of 6200 durable medical equipment & medical supplies organizations in Texas.
Primary specialty
Durable Medical Equipment & Medical Supplies
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Keahey
Ceo
Last NPPES update
2012-01-26
Source: monthly bulk 2026-05
How this organization compares
Across 6200 active durable medical equipment & medical supplies providers in Texas.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
540 Meadowlake Ctr
Waco, TX 767123981
Mailing address
Po Box 201157
Dallas, TX 753201157
Authorized official
Kent Keahey
Ceo
📞 2547514000
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
Prosthetic/Orthotic SupplierAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 087277201 | |
| 01 | 515091 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 016043401 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Providence Medical Equipment
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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