OrganizationActive
Providence Medical Center
NPI 1700626645 · Long Term Care Pharmacy · Wayne, NE
Providence Medical Center is a Long Term Care Pharmacy organization in Wayne, NE (NPI 1700626645).
Provider details
- NPI number
- 1700626645
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Lueders, Pharmacy Director(402) 375-7920
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
803 Providence Rd Ste 101
Wayne, NE 68787-1590
Phone: (402) 375-8862
Fax: (402) 375-8863
Street-level locationGet directions
Mailing address
1200 Providence Rd
Wayne, NE 68787-1212
Other names (DBA / former)
- Doing business as
- Providence Community Pharmacy
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Frequently asked questions
- What is Providence Medical Center's NPI number?
- Providence Medical Center's National Provider Identifier (NPI) is 1700626645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Medical Center?
- Providence Medical Center is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Providence Medical Center located?
- Providence Medical Center's practice location on file with NPPES is 803 Providence Rd Ste 101, Wayne, NE 68787-1590.
- What is Providence Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Providence Medical Center is (402) 375-8862.
- Who is the authorized official for Providence Medical Center?
- The authorized official listed on Providence Medical Center's NPPES record is Kimberly Lueders, Pharmacy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Medical Center's NPI active?
- Yes — Providence Medical Center's NPI (1700626645) is active in the NPPES registry as of the last update on 2024-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.