Provider Demographics
NPI:1497775183
Name:SAINT ELIZABETH REGIONAL MEDICAL CENTER
Entity Type:Organization
Organization Name:SAINT ELIZABETH REGIONAL MEDICAL CENTER
Other - Org Name:SAINT ELIZABETH HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT FINANCE & CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WOJTALEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-219-7721
Mailing Address - Street 1:555 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2462
Mailing Address - Country:US
Mailing Address - Phone:402-219-7721
Mailing Address - Fax:402-219-8973
Practice Address - Street 1:245 S 84TH ST
Practice Address - Street 2:SUITE 111
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2680
Practice Address - Country:US
Practice Address - Phone:402-219-7043
Practice Address - Fax:402-219-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHOSPICE 16251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100251381-00Medicaid
NE=========-74Medicaid
NE=========-75Medicaid
NE=========-76Medicaid
NE=========-78Medicaid
NE=========-79Medicaid
NE=========-85Medicaid
NE=========-81Medicaid
NE=========-07Medicaid
NE=========-77Medicaid
NE=========-80Medicaid
NE=========-87Medicaid
NE=========-72Medicaid
NE=========-86Medicaid
NE=========-70Medicaid
NE100251381-00Medicaid
NE=========-08Medicaid
NE=========-84Medicaid
NE100251381-00Medicaid