# PACIFIC SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1720334097
- **Authorized official:** DR. EUCLID DESOUZA (BOARD MEMBER)
- **Authorized official phone:** (402) 391-2166

## Contact information

- **Practice address:** 10707 PACIFIC ST STE 100, OMAHA, NE 68114-4762
- **Practice address phone:** (402) 933-1844
- **Practice address fax:** (402) 932-5891
- **Mailing address:** 6128 S LYNCREST AVE, SIOUX FALLS, SD 57108-2560
- **Mailing address phone:** (855) 334-2955
- **Mailing address fax:** (605) 274-6186

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2012
- **Last updated:** 08/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NA2347 | PTAN | NE |