Organization Name:  NORTHEAST NEBRASKA SURGERY CENTER LLC


Practice Location:
2701 W NORFOLK AVE STE 101 NORFOLK, NE 68701 US
Tel: 402-644-7262  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
BCBS	01307	NE	01
MIDLANDS CHOICE	F885	NE	01
RR MEDICARE	490004329	NE	01
	0719674	IA	05

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