Organization Name:  NOC SURGERY CENTER LLC


Practice Location:
6900 A ST STE 200  LINCOLN, NE 68510 US
Tel: 402-436-2012  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical

Other Provider Identifiers:

Issuer	Number	State	Type
BLUE CROSS BLUE SHIELD	01199	NE	01
RAILROAD MEDICARE	490005500	NE	01
WORKERS COMP US DEPT LABO	349989600	NE	01
COVENTRY	123108	NE	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin