HEARTLAND CENTER FOR REPRODUCTIVE MEDICINE NPI 1295890176

NPI Information

HEARTLAND CENTER FOR REPRODUCTIVE MEDICINE is an ambulatory surgical clinic center in Omaha, NE. HEARTLAND CENTER FOR REPRODUCTIVE MEDICINE NPI is 1295890176. The provider is registered as an organization entity type.
The provider Other Name Is Heartland Center For Reproductive Medicine Surgery Center.

The provider's business location address is:

7308 S 142ND ST
OMAHA, NE
ZIP 68138-804
Phone: (402) 717-4200
Fax: (402) 717-4231

The provider's authorized official is Deette Staebell .
The authorized official title is Administrator and has the following contact phone number (402) 717-4200.

The CLIA number assigned to this NPI record is 28D1049334 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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