Organization · Type 2 NPI
South Omaha Surgical Center LLC
Ambulatory Surgical Clinic/Center · Omaha, NE
NPI number
1942697735
Active
Practice location
3201 S 24th St
Omaha, NE 68108-1825
Fax (402) 504-4124
Mailing address
21120 Washington Pkwy
Frankfort, IL 60423-3112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | ASC068 (NE) |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1942697735
South Omaha Surgical Center LLC's National Provider Identifier is 1942697735, issued on Apr 20, 2015. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Omaha, NE. The record was last updated on Oct 9, 2017.