Providence Health Services Of Waco
Prosthetic & Orthotic Supplier
540 Meadowlake Ctr, Waco
Texas, 76712-3981
254-741-2495 254-741-2496
Maps & DirectionsProvidence Health Services Of Waco is a Prosthetic & Orthotic Supplier in Waco, Texas. It is situated at 540 Meadowlake Ctr, Waco and its contact number is 254-741-2495. The authorized person of Providence Health Services Of Waco is Mr. Kent Keahey
who is Ceo of the store and his/her contact number is 254-751-4000.
Providence Health Services Of Waco is 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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Providence Health Services Of Waco Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 540 Meadowlake Ctr, Waco,
Texas, 76712-3981 |
| Phone: | 254-741-2495 |
| Fax: | 254-741-2496 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Kent Keahey |
| Position: | Ceo |
| Contact Number: | 254-751-4000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Health Services Of Waco center are as mentioned below.
| NPI Number: | 1073506457 |
| NPI Enumeration Date: | 31 Aug, 2005 |
| NPI Last Update On: | 26 Jan, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health Services Of Waco are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Prosthetic/orthotic Supplier | 000111 | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 087277201 | Medicaid | Texas | |
| 515091 | Other | | Blue Cross Blue Shield |
| 016043401 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Providence Health Services Of Waco
Po Box 201157,
Dallas, Texas |
| Zip: | 75320-1157 |
| Phone Number: | 254-741-2495 |
| Fax Number: | 254-741-2496 |
Patients can reach Providence Health Services Of Waco at
540 Meadowlake Ctr, Waco, Texas or can
call to book an appointment on 254-741-2495.
Comments/ Reviews:
Patients can read all the reviews posted for Providence Health Services Of Waco below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Providence Health Services Of Waco. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.