Organization
GRAND ISLAND REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW P WATERMAN (CEO)
(308) 675-5000
Entity
Organization
Contact information
Practice address
3533 PRAIRIEVIEW ST, GRAND ISLAND, NE 68803-4409
(308) 675-5000
Mailing address
PO BOX 5225, GRAND ISLAND, NE 68802-5225
(308) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/17/2020
Last updated
06/11/2025
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