Organization · Type 2 NPI

Providence Medical Center

Community Based Hospice Care Agency · Wayne, NE

NPI number 1639218472 Active

Practice location

803 Providence Rd Ste 103
Wayne, NE 68787-1590

Mailing address

1200 Providence Rd
Wayne, NE 68787-1212

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000XHOSPICE 29 (NE)

Community Based Hospice Care Agency: Definition to come...

Another provider at this address

About NPI 1639218472

Providence Medical Center's National Provider Identifier is 1639218472, issued on Feb 6, 2007. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Wayne, NE. The record was last updated on Mar 11, 2025.