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Organization

MADONNA REHABILITATION HOSPITAL

Active
Other names
St. Jane de Chantal, St Jane de Chantal Long Term Care Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL A. DONGILLI JR. (PRESIDENT & CEO)
(402) 413-3000
Entity
Organization

Contact information

Practice address
2200 S 52ND ST, LINCOLN, NE 68506-2030
(402) 413-3000
(402) 413-4113
Mailing address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3000
(402) 413-4113

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
LTCH022
NE
314000000X
Skilled Nursing Facility
Primary
LTCH022
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00210
BLUE CROSS
NE
01
0157020
MEDICAID
SD
01
0605267
MEDICAID
IA
01
100187780A
MEDICAID
KS
01
112564800
MEDICAID
WY
01
5000016
UNITEDHEALTHCARE
Enumeration date
09/29/2006
Last updated
09/10/2019
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