Organization
PROVIDENCE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE HAGLUND (CEO)
(402) 375-7954
Entity
Organization
Contact information
Practice address
1200 PROVIDENCE ROAD, WAYNE, NE 68787-1212
(402) 375-7960
(402) 375-7989
Mailing address
1200 PROVIDENCE ROAD, WAYNE, NE 68787-1212
(402) 375-7960
(402) 375-7989
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
800001
NE
282NC0060X
Critical Access Hospital
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800001
—
NE
Enumeration date
01/31/2006
Last updated
03/11/2025
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