# MIRACLE HILLS SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1316926405
- **Authorized official:** NICOLE MAUSBACH (ADMINISTRATOR)
- **Authorized official phone:** (402) 884-2450

## Contact information

- **Practice address:** 11819 MIRACLE HILLS DR, SUITE 201, OMAHA, NE 68154
- **Practice address phone:** (402) 884-2450
- **Practice address fax:** (402) 884-2455
- **Mailing address:** 11819 MIRACLE HILLS DR, SUITE 201, OMAHA, NE 68154-4428
- **Mailing address phone:** (402) 884-2450
- **Mailing address fax:** (402) 884-2455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASC034 | NE | Yes |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 09/25/2025
