Organization
MADONNA REHABILITATION HOSPITAL
Active
Other names
Madonna Rehabilitation Specialty Hospital Lincoln
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
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
282E00000X
Long Term Care Hospital
Primary
507001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00603
BLUE CROSS
NE
01
—
013628201
MEDICAID
MO
01
—
0220070
MEDICAID
SD
01
—
0933457
MEDICAID
IA
01
—
100187780A
MEDICAID
KS
05
—
10025180200
—
NE
01
—
112564800
MEDICAID
WY
01
—
5000016
UNITED HEALTH CARE
NE
Enumeration date
10/06/2006
Last updated
12/26/2017
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