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NOC SURGERY CENTER LLC NPI 1184699878


NPI Information

NPI: 1184699878
Provider Name: NOC SURGERY CENTER LLC

Doing Business As: LOC SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 28D0959866

Address:
6900 A ST STE 200
LINCOLN, NE
ZIP 68510
Phone: (402) 436-2012
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NOC SURGERY CENTER LLC is an ambulatory surgical clinic center in Lincoln, NE. NOC SURGERY CENTER LLC NPI is 1184699878. The provider is registered as an organization entity type.
The provider Is Doing Business As Loc Surgery Center.

The provider's business location address is:

6900 A ST STE 200
LINCOLN, NE
ZIP 68510-120
Phone: (402) 436-2012
Fax: (402) 434-2690

The provider's authorized official is Douglas P. Tewes .
The authorized official title is President and has the following contact phone number (402) 436-2000.

The CLIA number assigned to this NPI record is 28D0959866 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 10/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101199OTHERNEBRASKABLUE CROSS BLUE SHIELD
2490005500OTHERNEBRASKARAILROAD MEDICARE
3349989600OTHERNEBRASKAWORKERS COMP US DEPT LABO
4123108OTHERNEBRASKACOVENTRY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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