# PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C.
- **Other names:** Prairie ASC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255809620
- **Legal business name:** PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, P.C.
- **Authorized official:** PATRICK T HURLBUT MD (VICE PRESIDENT)
- **Authorized official phone:** (402) 489-4700

## Contact information

- **Practice address:** 4130 PIONEER WOODS DR STE 1, LINCOLN, NE 68506-7552
- **Practice address phone:** (402) 489-4700
- **Practice address fax:** (402) 489-5220
- **Mailing address:** 4130 PIONEER WOODS DR STE 1, LINCOLN, NE 68506-7552
- **Mailing address phone:** (402) 489-4700
- **Mailing address fax:** (402) 489-5220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2018
- **Last updated:** 11/05/2018