Providence Medical Center
Medicare Defined Swing Bed Hospital Unit in Wayne, NE(View on Map)
Legal Business Name
Providence Medical Center
NPI Number
1255470092
NPI Type
Organization
Enumeration Date
02/06/2007
Specialties
(Taxonomies)Licenses
State
Nebraska
License Number
800001
Contact
Information
Purpose
Mailing
Location
Address
1200 PROVIDENCE RD.
1200 PROVIDENCE RD
City
Wayne
Wayne
State
NE
NE
Postal Code
68787-1212
68787-1212
Country
US
US
Telephone Number
(402) 375-3800
(402) 375-3800
Authorized Official
Name
Thomas Lee
Title or Position
ADMINISTRATOR
Telephone Number
(402) 375-3800
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/01/2012