Healthcare Provider Details

I. General information

NPI: 1356358345
Provider Name (Legal Business Name): SAINT ELIZABETH REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 S 70TH ST
LINCOLN NE
68510-2471
US

IV. Provider business mailing address

555 S 70TH ST
LINCOLN NE
68510-2462
US

V. Phone/Fax

Practice location:
  • Phone: 402-219-7721
  • Fax: 402-219-8973
Mailing address:
  • Phone: 402-219-7721
  • Fax: 402-219-8973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. JEANETTE M WOJTALEWICZ
Title or Position: VICE PRESIDENT FINANCE & CFO
Credential:
Phone: 402-219-7721