Organization
MADONNA REHABILITATION HOSPITAL
Active
Organization
MADONNA REHABILITATION HOSPITAL
Active
Other names
Madonna Rehabilitation 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
283X00000X
Rehabilitation Hospital
Primary
500005
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00228
BLUE CROSS
NE
01
—
013628201
MEDICAID
MO
01
—
0220070
MEDICAID
SD
01
—
0933457
MEDICAID
IA
01
—
100187780A
MEDICAID
KS
01
—
112564800
MEDICAID
WY
01
—
5000016
UNITEDHEALTHCARE
—
01
—
5560010
MEDICAID
SD
Enumeration date
10/06/2006
Last updated
09/10/2019
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