PROVIDENCE HEALTH ALLIANCE NPI 1013783091

NPI Information

  • NPI: 1013783091
  • Provider Name: PROVIDENCE HEALTH ALLIANCE
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Address: 1130 N LOOP 340
    LACY LAKEVIEW, TX
    ZIP 76705
  • Phone: (254) 870-6500

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NPI Details

PROVIDENCE HEALTH ALLIANCE is an urgent care clinic center in Lacy Lakeview, TX. PROVIDENCE HEALTH ALLIANCE NPI is 1013783091. The provider is registered as an organization entity type.

The provider's business location address is:

1130 N LOOP 340
LACY LAKEVIEW, TX
ZIP 76705
Phone: (254) 870-6500

The provider's authorized official is Clayton Carsner .
The authorized official title is Vp/coo and has the following contact phone number (512) 324-5846.

The enumeration date for this NPI number is 11/30/2023 and was last updated on 11/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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