# MADONNA REHABILITATION HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MADONNA REHABILITATION HOSPITAL
- **Other names:** Rehabilitation Specialists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417045642
- **Legal business name:** MADONNA REHABILITATION HOSPITAL
- **Authorized official:** MR. PAUL A DONGILLI JR. (PRESIDENT & CEO)
- **Authorized official phone:** (402) 413-3000

## Contact information

- **Practice address:** 5401 SOUTH ST, LINCOLN, NE 68506-2150
- **Practice address phone:** (402) 413-3000
- **Practice address fax:** (402) 413-4113
- **Mailing address:** 5401 SOUTH ST, LINCOLN, NE 68506-2150
- **Mailing address phone:** (402) 413-3000
- **Mailing address fax:** (402) 413-4113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 09/10/2019
