Organization
PROVIDENCE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE R HAGLUND (CEO)
(402) 375-3800
Entity
Organization
Contact information
Practice address
803 PROVIDENCE RD STE 103, WAYNE, NE 68787-1590
(402) 375-4288
Mailing address
1200 PROVIDENCE RD, WAYNE, NE 68787-1212
(402) 375-3800
(402) 375-7989
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
801001
NE
Other
Enumeration date
12/22/2006
Last updated
03/11/2025
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