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Providence Health Services Of Waco
Psychiatric Hospital in Waco, Texas
NPI 1710970397

Providence Health Services Of Waco is a Psychiatric Hospital based in Waco, TX. Providence Health Services Of Waco practices in Waco, TX. The NPI Number for Providence Health Services Of Waco is 1710970397 and holds a License No. 000736 (Texas).

The current practice location address for Providence Health Services Of Waco is 301 Londonderry Dr, Waco, TX and can be reached out via phone at 254-776-5970 and via fax at 254-751-4887.

Location: 301 Londonderry Dr, Waco, TX, 76702-2589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710970397
Provider Name
Providence Health Services Of Waco
Credential
Provider Entity Type
Organization
Address
301 Londonderry Dr, Waco, TX, 76702-2589
Phone Number
254-776-5970
Fax Number
254-751-4887
Provider Enumeration Date
08/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121831504 05 TX
institution
Provider Business Practice Location Address Details
Address
301 Londonderry Dr
City
Waco
State
Texas
Zip
76712-7915
Phone Number
254-776-5970
Fax Number
254-751-4887
person
Provider Business Mailing Address Details
Address
301 Londonderry Dr
City
Waco
State
Texas
Zip
76712-7915
Phone Number
254-776-5970
Fax Number
254-751-4887
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
000736 (Texas)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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