NORTHEAST NEBRASKA SURGERY CENTER LLC NPI 1861497380

NPI Information

NPI: 1861497380
Provider Name: NORTHEAST NEBRASKA SURGERY CENTER LLC

Doing Business As: FAITH REGIONAL SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
2701 W NORFOLK AVE
STE 101
NORFOLK, NE
ZIP 68701
Phone: (402) 644-7262
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NORTHEAST NEBRASKA SURGERY CENTER LLC is an ambulatory surgical clinic center in Norfolk, NE. NORTHEAST NEBRASKA SURGERY CENTER LLC NPI is 1861497380. The provider is registered as an organization entity type.
The provider Is Doing Business As Faith Regional Surgery Center.

The provider's business location address is:

2701 W NORFOLK AVE
STE 101
NORFOLK, NE
ZIP 68701-408
Phone: (402) 644-7262
Fax: (402) 644-7227

The provider's authorized official is Kelly A. Driscoll .
The authorized official title is Member Of Board Of Managers and has the following contact phone number (402) 644-7637.

The CLIA number assigned to this NPI record is 28D0964358 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 2/24/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01307	OTHER	NEBRASKA	BCBS
2	F885	OTHER	NEBRASKA	MIDLANDS CHOICE
3	490004329	OTHER	NEBRASKA	RR MEDICARE
4	0719674	MEDICAID	IOWA

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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