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Organization
MIDWEST SURGERY CENTER INC
Active
Organization
MIDWEST SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL POWERS DPM (OWNER)
(402) 331-6387
Entity
Organization
Contact information
Practice address
10784 V ST, OMAHA, NE 68127-2952
(402) 331-6387
(402) 331-6537
Mailing address
PO BOX 241277, OMAHA, NE 68124-5277
(402) 331-6387
(402) 331-6537
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC044
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07024
BLUE CROSS BLUE SHIELD
NE
05
—
10025647800
—
NE
01
—
ASC044
STATE LICENSE
NE
Enumeration date
03/02/2007
Last updated
04/30/2015
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