Organization
MADONNA REHABILITATION HOSPITAL
Active
Parent organization
MADONNA REHABILITATION HOSPITAL
Other names
Rehabilitation Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADONNA REHABILITATION HOSPITAL
Authorized official
MR. PAUL A DONGILLI JR. (PRESIDENT & CEO)
(402) 413-3000
Entity
Organization
Contact information
Practice address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(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
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0982017
MEDICAID
IA
01
—
100187780D
MEDICAID
KS
01
—
500885900
MEDICAID
MO
01
—
7729
BLUE CROSS
NE
01
—
D0287
RAILROAD MEDICARE
—
Enumeration date
10/11/2006
Last updated
09/10/2019
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