Providence Medical Center
Home Health in Wayne, NE. Organization (NPI-2).
NPI number1003971748
StatusActive
Last updated in NPPESMar 11, 2025
Details
- NPI
- 1003971748
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Medical Center
- Organization subpart
- No
- Enumeration date
- Dec 22, 2006
- Certification date
- Mar 11, 2025
- Last updated
- Mar 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - HOME HEALTH AGENCY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 801001 | NE | Yes |
Practice location
803 Providence Rd Ste 103Wayne, NE 68787-1590
Phone 402-375-4288
Mailing address
1200 Providence RdWayne, NE 68787-1212
Phone 402-375-3800 · Fax 402-375-7989
Authorized official
Nicole R Haglund
Ceo
4023753800
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