OrganizationActive
Providence Health Services of Waco, Inc
NPI 1902047285 · Prosthetic/Orthotic Supplier · Waco, TX
Providence Health Services of Waco, Inc is a Prosthetic/Orthotic Supplier organization in Waco, TX (NPI 1902047285).
Provider details
- NPI number
- 1902047285
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Providence Health Services of Waco, Inc
- Organization subpart
- Yes
- Authorized official
- Odis Nichols, Coo(254) 751-4000
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6600 Fish Pond Road
Suite 104
Waco, TX 76710
Phone: (254) 741-2495
Approximate (ZIP-level) locationGet directions
Mailing address
540 Meadowlake Center
Waco, TX 76712
Other names (DBA / former)
- Doing business as
- Providence Medical Equipment Services
Registry dates
- Enumerated
- 2009-03-16
- Last updated
- 2010-08-04
Frequently asked questions
- What is Providence Health Services of Waco, Inc's NPI number?
- Providence Health Services of Waco, Inc's National Provider Identifier (NPI) is 1902047285, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health Services of Waco, Inc?
- Providence Health Services of Waco, Inc is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Providence Health Services of Waco, Inc located?
- Providence Health Services of Waco, Inc's practice location on file with NPPES is 6600 Fish Pond Road, Waco, TX 76710.
- What is Providence Health Services of Waco, Inc's phone number?
- The practice phone number listed in the NPPES registry for Providence Health Services of Waco, Inc is (254) 741-2495.
- Who is the authorized official for Providence Health Services of Waco, Inc?
- The authorized official listed on Providence Health Services of Waco, Inc's NPPES record is Odis Nichols, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health Services of Waco, Inc's NPI active?
- Yes — Providence Health Services of Waco, Inc's NPI (1902047285) is active in the NPPES registry as of the last update on 2010-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.