# WOUND100 SOUTHEAST LLC

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

## Provider details

- **NPI number:** 1407727993
- **Authorized official:** FRANK EMSICK (CHIEF TECHNOLOGY OFFICER)
- **Authorized official phone:** (402) 651-6040

## Contact information

- **Practice address:** 4000 EAGLE POINT CORPORATE DR, BIRMINGHAM, AL 35242-1900
- **Practice address phone:** (205) 855-2237
- **Mailing address:** 17414 WASHINGTON ST, OMAHA, NE 68135-3202
- **Mailing address phone:** (402) 651-6040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2025
- **Last updated:** 09/16/2025