Providacare Medical Supply Ltd

LBN: Providacare Medical Supply Ltd
Providacare Medical Supply Ltd is an health care organization with primary practice located at 8300 Old Mcgregor Rd Ste 1B, Waco TX 76712-3600. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Providacare Medical Supply Ltd can be contacted via phone (254) 778-2727, or through Bennett, Ryan N via phone (512) 733-6518.

Contact Information

Primary practice address
8300 Old Mcgregor Rd Ste 1B Waco TX 76712-3600
Phone: (254) 778-2727
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Ryan N
Phone: (512) 733-6518

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0089310 Texas

Profile Details

NPI number 1043326481
LBN Legal business name Providacare Medical Supply Ltd
DBA Doing business as
Authorized official Bennett, Ryan N
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 19th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043326481 NPPES
Texas MEDICAID 182572101

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