PROVIDENCE HEALTH SERVICES OF WACO
Ambulatory Health at Coleman St, Marlin, TX

License number
Texas 000040
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MRS. CHERYL A SADRO
Title: SR. VP CFO
Phone: (254) 751-4146
Address
Address 2
322 Coleman St, Marlin, TX 76661
PO Box 2589, Waco, TX 76702
National Provider ID: 1306872213
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Providence Health Services of Waco

Waco, TX

Industry:
Medical Doctor's Office, Health and Allied Services, Nec, Nsk, Health/Allied Services
Phone:
(254) 776-8333 (Phone)
Addresses:
301 Richland West Cir, Waco, TX 76712
318 Richland West Cir, Waco, TX 76712
Medical Assistants:
Lisa J. Kirk (Medical Doctor, Owner),John M. Burbidge (Osteopathy),Frances E. Koller (Medical Doctor),...

PROVIDENCE HEALTH SERVICES OF WACO

PO Box 2589, Waco, TX 76702

Industry:
General Hospital, Medical Doctors Office Individual/Family Svcs Specialty Hospital Ret Misc Merchandise, House Cleaning Services, ...
Registration:
Mar 23, 1908
Phone:
(254) 751-4000 (Phone), (254) 776-5970 (Phone), (254) 399-2500 (Phone), (254) 751-4133 (Phone)
State ID:
0001884301
Business type:
Domestic Nonprofit Corporation
Directors:
Kent Keahey (CEO),Steven T. Cates (Director),Dennis Michaelis (Director),...
Agent:
Brett Esrock,6901 Medical Pkwy, Woodway, TX 76712 (Physical)
TIN:
17411096369

Providence Health Services of Waco

540 Meadowlake Ctr, Waco, TX 76712

Industry:
Whol Medical/Hospital Equipment
Phone:
(254) 751-0351 (Phone)
Chief Operating Officers:
Judy Handry (Director),Kent A. Keahey (Chief Executive Officer),Odis Nichols Chief Operating Officer, inactive

Providence Health Services of Waco

7104 New Sanger Rd, Waco, TX 76712

Industry:
Medical Doctor's Office
Nurses:
Annette Wilkerson (Office Manager),Natalie C. Lippe (Family Practitioner),Timothy D. Martindale (Family Practitioner),...

Providence Health Services of Waco

6901 Medical Pkwy, Waco, TX 76712

Status:
Inactive
Phone:
(254) 751-4000 (Phone), (254) 751-4024 (Fax)
Presidents:
Care4Texans, Llc (Managing Member),James Sullivan (Former Board President),Diana Fisher (Program Manager),...
SIC:
8062 - General Medical and Surgical Hospitals
SIC6:
806200 - General hospital
Company size:
1700

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