# SURGI-SUITE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316063332
- **Authorized official:** DR. JOHN J HEIECK M.D. (SECRETARY TREASUER)
- **Authorized official phone:** (402) 390-0100

## Contact information

- **Practice address:** 8900 1/2 W DODGE RD, OMAHA, NE 68114-3302
- **Practice address phone:** (402) 390-0100
- **Practice address fax:** (402) 390-2711
- **Mailing address:** 8900 1/2 W. DODGE RD, OMAHA, NE 68114-3302
- **Mailing address phone:** (402) 390-0100
- **Mailing address fax:** (402) 390-2711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASC002 | NE | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 10/29/2009
