Organization

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)

Code

275N00000X

Primary Taxonomy

Yes

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

Provider Address