PROVIDACARE MEDICAL SUPPLY LTD NPI 1043326481

NPI Information

NPI: 1043326481
Provider Name: PROVIDACARE MEDICAL SUPPLY LTD
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
8300 OLD MCGREGOR RD
STE 1B
WACO, TX
ZIP 76712
Phone: (254) 778-2727
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PROVIDACARE MEDICAL SUPPLY LTD is an oxygen equipment and supplies durable medical equipment medical supplies in Waco, TX. PROVIDACARE MEDICAL SUPPLY LTD NPI is 1043326481. The provider is registered as an organization entity type.

The provider's business location address is:

8300 OLD MCGREGOR RD
STE 1B
WACO, TX
ZIP 76712-600
Phone: (254) 778-2727

The provider's authorized official is Ryan N Bennett .
The authorized official title is Ceo and has the following contact phone number (512) 733-6518.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 6/19/2013.

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
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	0089310	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5653740002	MEDICARE NSC	TEXAS
2	182572101	MEDICAID	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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