PROVIDENCE MEDICAL CENTER


Address: 1200 Providence Road, Wayne, NE 68787-1212
Phone: 4023757960

PROVIDENCE MEDICAL CENTER (NPI# 1801867494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801867494
Entity Type Organization
Organization Name PROVIDENCE MEDICAL CENTER
Practice Address 1200 Providence Road
Wayne
NE 68787-1212
Practice Telephone 4023757960
Practice Fax Number 4023757989
Mailing Telephone 4023757960
Mailing Fax Number 4023757989
Enumeration Date 2006-01-31
Last Update Date 2015-11-13
Authorized Official Name MR. JAMES R FRANK (CEO)
Authorized Official Telephone 4023757954
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 282NC0060X General Acute Care Hospital
Specialization: Critical Access
800001 NE Hospitals
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
NE Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
NE 800001 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457819922 Providence Medical Center Pharmacy 803 Providence Rd Ste 101, Wayne, NE 68787-1590 2019-03-04
1982957015 Providence Medical Center Clinic/Center 417 First Ave, Seward, AK 99664-0365 2012-10-26
1255470092 Providence Medical Center Medicare Defined Swing Bed Unit 1200 Providence Rd, Wayne, NE 68787-1212 2007-02-06
1639218472 Providence Medical Center Hospice Care, Community Based 1200 Providence Rd, Wayne, NE 68787-1212 2007-02-06
1962567354 Providence Medical Center Family Medicine 25 Craig Pl, North Plainfield, NJ 07060-4777 2006-12-26
1003971748 Providence Medical Center Home Health 1200 Providence Rd, Wayne, NE 68787-1212 2006-12-22

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PROVIDENCE MEDICAL CENTER 8929 Parallel Pkwy, Kansas City, KS 66112-1689
System for Award Management (SAM) Entities PROVIDENCE MEDICAL CENTER, WAYNE, NEBRASKA 1200 Providence Rd, Wayne, NE 68787-1212

Office Location

Street Address 1200 PROVIDENCE ROAD
City WAYNE
State NE
Zip Code 68787-1212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659722908 Michele Albers Physical Therapist 1200 Providence Road, Wayne, NE 68787 2016-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396209623 Pearl Street Counseling, LLC Counselor 421 N Pearl Street, Wayne, NE 68787 2019-01-31
1760883367 Northeast Nebraska Public Health Department Public Health or Welfare 215 Pearl Street, Wayne, NE 68787 2014-09-15
1942419353 Muffin Elaine Morris Specialist/Technologist 11 11 Main Street, Wayne State College, Wayne, NE 68787 2007-05-22
1801952601 Craig W Braun Dentist 206 E 7th St, Wayne, NE 68787 2006-12-28
1124120464 Robert Kevin Krugman Chiropractor 214 Pearl Street, Wayne, NE 68787 2006-09-05
1730599762 Angela Mclaughlin Family Medicine 615 E 14th St, Wayne, NE 68787 2014-04-29
1083977474 Amy Joan Bowers Physical Therapist 1200 Providence Rd, Wayne, NE 68787 2012-06-20
1205195831 Michelle Theis Occupational Therapist 1200 Providence Rd, Wayne, NE 68787 2012-05-16
1649568775 Grace Counseling Services Community/Behavioral Health 111 Main Street, Wayne, NE 68787 2011-07-11
1780975144 Magnuson Hopkins Eyecare PC Optometrist 1112 W 7th St, Wayne, NE 68787 2011-04-20
Find all providers in zip 68787

Taxonomy Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144633223 Regional West Garden County General Acute Care Hospital 1100 West 2nd, Oshkosh, NE 69154-6117 2014-06-06
1184837262 Alegent Health General Acute Care Hospital Midlands Hospital, 11111 South 84th Street, Papillion, NE 68046 2007-05-07
1467675629 Chadron Community Hospital Corp. General Acute Care Hospital 825 Centennial Dr., Chadron, NE 69337-9400 2007-04-10
1982725644 University of Nebraska Medical Center General Acute Care Hospital 985000 Nebraska Medical Center, Omaha, NE 68198-1150 2007-04-02
1609965805 Osmond General Hospital Inc General Acute Care Hospital 402 N Maple St, Osmond, NE 68765-5726 2006-10-12
1093802688 Dundy County Hospital General Acute Care Hospital 1313 North Cheyenne Street, Benkelman, NE 69021-3074 2006-10-06
1689769382 Fillmore County Hospital General Acute Care Hospital 1900 F St, Geneva, NE 68361-2229 2006-10-04
1922106152 Howard County Medical Center General Acute Care Hospital 1113 Sherman St, Saint Paul, NE 68873 2006-09-20
1063429694 Memorial Community Health, Inc General Acute Care Hospital 1423 7th St, Aurora, NE 68818-1141 2006-08-03
1124035225 Harlan County Health System General Acute Care Hospital 717 Brown St, Alma, NE 68920-2132 2006-08-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City WAYNE
Zip Code 68787

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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