Healthcare Provider Details

I. General information

NPI: 1124048814
Provider Name (Legal Business Name): SAINT ELIZABETH REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 03/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 S 70TH ST
LINCOLN NE
68510-2462
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 TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
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