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MADONNA REHABILITATION HOSPITAL

Clinical Neuropsychologist

Lincoln, Nebraska

Provider NPI: 1417045642

Organization Information:
Organization Name:  MADONNA REHABILITATION HOSPITAL
Organization is Subpart
Authorized Official:  PAUL A DONGILLI  PRESIDENT & CEO  402-4133000

Practice Location:
5401 SOUTH ST  LINCOLN, NE 68506 US
Tel: 402-413-3000  Fax: 402-413-4113

Business Mailing Address:
5401 SOUTH ST  LINCOLN, NE 68506 US
Tel: 402-413-3000  Fax: 402-413-4113

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XPhysicians
Physical Medicine & Rehabilitation

Other Provider Identifiers:

IssuerNumberStateType
MEDICAID0982017IA01
BLUE CROSS7729NE01
MEDICAID500885900MO01
RAILROAD MEDICARED028701
MEDICAID100187780DKS01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NE - Page 1



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