SOUTH OMAHA SURGICAL CENTER LLC
NPI 1942697735
Clinic/Center - Ambulatory Surgical in Omaha, NE
- Organization
- Clinic/Center
- Ambulatory Surgical
About SOUTH OMAHA SURGICAL CENTER LLC
This page provides the complete NPI Profile along with additional information for South Omaha Surgical Center Llc, a provider established in Omaha, Nebraska operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1942697735 assigned on April 2015. The practitioner's primary taxonomy code is 261QA1903X with license number ASC068 (NE). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Daniel W Borvan Crna (Vice President)
- NPI
- 1942697735 Verify this NPI
- Provider Name
- SOUTH OMAHA SURGICAL CENTER LLC
- Entity Type
- Organization
- Location Address
- 3201 S 24TH ST OMAHA, NE 68108
- Location Phone
- (402) 504-4071
- Location Fax
- (402) 504-4124
- Mailing Address
- 21120 WASHINGTON PKWY FRANKFORT, IL 60423
- Mailing Phone
- (815) 469-9750
- Mailing Fax
- (815) 469-9752
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-20-2015
- Last Update Date
- 10-09-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- ASC068
- License State
- NE
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942697735, enumerated as an "organization" on April 20, 2015.
The provider is located at 3201 S 24TH ST OMAHA, NE 68108 and the phone number is (402) 504-4071.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
