Active NPI
Ascension Providence
- General Acute Care Hospital
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 000040
- Legal business name
- ASCENSION PROVIDENCE
- Practice address
- 6901 Medical Pkwy
Waco, TX 76712-7910 - Phone
- (254) 751-4146
- Fax
- (254) 751-4283
- NPI assigned
- Aug 29, 2005
- Last updated
- Mar 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig Cordola
- Title
- Ceo
- Phone
- (512) 324-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 000040 | TX | Primary |
Addresses
Primary practice location
6901 Medical Pkwy
Waco, TX 76712-7910
Mailing address
P.O. Box 2589
Waco, TX 76702-2589
Phone (254) 751-4146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112551001 | Medicaid | TX | |
| 111829102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051026000618 | TX | Part A Provider - Hospital | 7517878549 | Practice locations: Waco, TX; Lacy Lakeview, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1093708679. Details of each certification follow.
Hospital certification: CCN 450042
- Legal name
- ASCENSION PROVIDENCE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 10, 2026
- Beds
- 237
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Aug 29, 2000 in TX
- Enrollment address
- 6901 Medical Pkwy
Waco, TX 76712-7910 - Hospital subgroups
- Acute care
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Ascension Providence Salome Inpatient Rehabilitation Center
- Rehabilitation Hospital Unit
- Waco, TX
- NPI 1497559140
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Ascension Providence Salome Inpatient Rehabilitation Center
- Rehabilitation Hospital Unit
- Waco, TX
- NPI 1497559140
7517878549
Care Compare: Hospital
Medicare Care Compare- Listed as
- Ascension Providence
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider DirectoryLocations
405 Londonderry Dr
Ste 303
Waco, TX 76712
Phone (254) 399-6730
6600 Fish Pond Rd
Ste 104
Waco, TX 76710
Phone (254) 235-3535
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Chris Wheeler | Corporate Director | Jul 1, 2022 | |
| William Andy Davis | Corporate Director | Nov 27, 2017 | |
| W-2 Managing Employee | Nov 27, 2017 | ||
| Karen Kennards | Corporate Director | Nov 21, 2024 | |
| Ascension Texas | Operational/Managerial Control | May 1, 2012 | |
| Ashley M Dickinson | W-2 Managing Employee | Aug 1, 2023 | |
| Jeffrey T Manning | Corporate Director | Jul 1, 2020 | |
| Julie Holly | Corporate Director | Mar 14, 2013 | |
| W-2 Managing Employee | Nov 5, 2016 | ||
| Philip Patterson | W-2 Managing Employee | Feb 26, 2018 | |
| John Patrick Atkins | Corporate Director | Jul 1, 2022 | |
| Ascension Providence | Operational/Managerial Control | Aug 29, 2000 | 100% |
| Ascension Health | Operational/Managerial Control | Nov 1, 1999 | |
| Erik H Pronske | Corporate Director | Jul 1, 2022 | |
| Dave F Clarke | Corporate Director | Jul 1, 2021 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Ascension Providence Salome Inpatient Rehabilitation Center
- Rehabilitation Hospital Unit
- Waco, TX
- NPI 1497559140
Operational/Managerial Control
-
- Neurology with Special Qualifications in Child Neurology Physician
- Austin, TX
- NPI 1871550772
Corporate Director
Facilities with the same owner 158
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Ascension Providence Salome Inpatient Rehabilitation Center
- Rehabilitation Hospital Unit
- Waco, TX
- NPI 1497559140
Ascension Health, Ascension Texas
-
dba Ascension Seton Highland Lakes
- Critical Access Hospital
- Burnet, TX
- NPI 1003833013
Ascension Health, Ascension Texas
-
dba Dell Seton Medical Center at the University of Texas
- General Acute Care Hospital
- Austin, TX
- NPI 1093810327
Ascension Health, Ascension Texas
-
dba Ascension Seton Northwest
- General Acute Care Hospital
- Austin, TX
- NPI 1124137054
Ascension Health, Ascension Texas
-
dba Childrens Care A Van
- Rural Health Clinic/Center
- Lockhart, TX
- NPI 1144325481
Ascension Health, Ascension Texas
-
dba Children's Care-a-Van
- Rural Health Clinic/Center
- Burnet, TX
- NPI 1164445094
Ascension Health, Ascension Texas
-
dba Ascension Seton Medical Center Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
Ascension Health
-
dba Ascension Seton Kingsland Health Center
- Rural Health Clinic/Center
- Kingsland, TX
- NPI 1205263134
Ascension Health, Ascension Texas
-
dba Ascension Seton Lockhart Health Center
- Rural Health Clinic/Center
- Lockhart, TX
- NPI 1235234576
Ascension Health, Ascension Texas
-
dba Ascension Seton Highland Lakes -Swing
- Medicare Defined Swing Bed Hospital Unit
- Burnet, TX
- NPI 1346263274
Ascension Health, Ascension Texas
-
dba Ascension Seton Dripping Springs Health Center
- Rural Health Clinic/Center
- Dripping Springs, TX
- NPI 1346862752
Ascension Health, Ascension Texas
-
dba Ascension Seton Edgar B Davis
- Critical Access Hospital
- Luling, TX
- NPI 1356446686
Ascension Health, Ascension Texas
Practitioners & affiliated clinicians
Practitioners 42
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Waco, TX
- NPI 1255582607
-
- Obstetrics & Gynecology Physician
- Waco, TX
- NPI 1265792964
-
- Pediatrics Physician
- Waco, TX
- NPI 1649564014
-
- Internal Medicine Physician
- Waco, TX
- NPI 1083990584
-
- Family Medicine Physician
- Clifton, TX
- NPI 1881666402
-
- Ophthalmology Physician
- Waco, TX
- NPI 1316155443
-
- Family Medicine Physician
- Waco, TX
- NPI 1063579704
-
- Obstetrics & Gynecology Physician
- Waco, TX
- NPI 1104886126
-
- Family Medicine Physician
- Waco, TX
- NPI 1659673036
-
- Pediatrics Physician
- Waco, TX
- NPI 1841304540
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1992238844
-
- Neurological Surgery Physician
- Texarkana, TX
- NPI 1588665319
Affiliated clinicians 464
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551744000000",
"number": "1093708679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2589",
"city": "WACO",
"state": "TX",
"postal_code": "767022589",
"telephone_number": "254-751-4146",
"fax_number": "254-751-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 MEDICAL PKWY",
"city": "WACO",
"state": "TX",
"postal_code": "767127910",
"telephone_number": "254-751-4146",
"fax_number": "254-751-4283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENSION PROVIDENCE",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-29",
"last_updated": "2019-03-05",
"status": "A",
"authorized_official_last_name": "CORDOLA",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "512-324-1000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": "000040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112551001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111829102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
- Carrie Arroyo, LCSW
- Awais Arshad
- Don Ray Arterburn, PHD LMFT
- Louanna G Arterburn, LPC
- Kristin M Arterbury, LPC ASSOCIATE
- Ascension Providence (Ascension Providence Plaza Outpatient Pharmacy)
- Ascension Providence (Ascension Providence Salome Inpatient Rehabilitation Center)
- Ascension Providence (Ascension Providence Depaul Center)
- Hannah Ashley, LCSW
- Ian Ashley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.