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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 800001 | 05 |
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 |
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 |
Street Address |
1200 PROVIDENCE ROAD |
City | WAYNE |
State | NE |
Zip Code | 68787-1212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659722908 | Michele Albers | Physical Therapist | 1200 Providence Road, Wayne, NE 68787 | 2016-06-28 |
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 Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
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 |
Please comment or provide details below to improve the information on PROVIDENCE MEDICAL CENTER.
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.