Organization
PROVIDENCE MEDICAL CENTER
Active
Parent organization
PROVIDENCE MEDICAL CENTER
Other names
Providence Medical Center Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE MEDICAL CENTER
Authorized official
DANIELLE GEARHART (CEO)
(402) 375-3800
Entity
Organization
Contact information
Practice address
1200 PROVIDENCE RD, WAYNE, NE 68787-1212
(402) 375-3800
(402) 375-7610
Mailing address
1200 PROVIDENCE RD, WAYNE, NE 68787-1212
(402) 375-3800
(402) 375-7610
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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