PROVIDENCE HEALTH ALLIANCE – NPI #1013783091
Clinic/Center

PROVIDENCE HEALTH ALLIANCE is an AHC clinic located in LACY LAKEVIEW, TX. NPPES has assigned the NPI number 1013783091 to PROVIDENCE HEALTH ALLIANCE on November 30, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE HEALTH ALLIANCE below.

NPI Profile for
PROVIDENCE HEALTH ALLIANCE

NPI Number
1013783091
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH ALLIANCE
Primary location
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
Phone: (254) 870-6500 Fax:
Mailing address
1345 PHILOMENA ST
STE 410.3
AUSTIN, TX 78723
Phone: Fax:
Organization Subpart
No
Authorized Official
CLAYTON CARSNER
VP/COO
Phone: (512) 324-5846
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.