# HEARTLAND CENTER FOR REPRODUCTIVE MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Center for Reproductive Medicine Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295890176
- **Authorized official:** DEETTE STAEBELL (ADMINISTRATOR)
- **Authorized official phone:** (402) 717-4200

## Contact information

- **Practice address:** 7308 S 142ND ST, OMAHA, NE 68138-6804
- **Practice address phone:** (402) 717-4200
- **Practice address fax:** (402) 717-4231
- **Mailing address:** 7308 S 142ND ST, OMAHA, NE 68138-6804
- **Mailing address phone:** (402) 717-4200
- **Mailing address fax:** (402) 717-4231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASC031 | NE | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 35871 | BCBS PROVIDER NUMBER | NE |