Provider Demographics
NPI:1558458091
Name:MADONNA REHABILITATION HOSPITAL
Entity Type:Organization
Organization Name:MADONNA REHABILITATION HOSPITAL
Other - Org Name:MADONNA REHABILITATION HOSPITAL LINCOLN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DONGILLI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:402-413-3000
Mailing Address - Street 1:5401 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2150
Mailing Address - Country:US
Mailing Address - Phone:402-413-3000
Mailing Address - Fax:402-413-4113
Practice Address - Street 1:5401 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2150
Practice Address - Country:US
Practice Address - Phone:402-413-3000
Practice Address - Fax:402-413-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE500005283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100187780AOtherMEDICAID
SD0220070OtherMEDICAID
5000016OtherUNITEDHEALTHCARE
NE00228OtherBLUE CROSS
MO013628201OtherMEDICAID
IA0933457OtherMEDICAID
WY112564800OtherMEDICAID
SD5560010OtherMEDICAID
WY112564800OtherMEDICAID
IL=========002OtherMEDICAID
5000016OtherUNITEDHEALTHCARE