# ORTHOPAEDIC SURGICENTER INC

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

## Provider details

- **NPI number:** 1831205152
- **Authorized official:** KRAL VARHAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (308) 381-0100

## Contact information

- **Practice address:** 810 DIERS AVENUE, SUITE A, GRAND ISLAND, NE 68802
- **Practice address phone:** (308) 381-0100
- **Mailing address:** PO BOX 1366, GRAND ISLAND, NE 68802
- **Mailing address phone:** (308) 381-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASC033 | NE | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 05/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10024970600 | — | NE |