# PACIFIC SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PACIFIC SURGERY CENTER EAST
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902795289
- **Authorized official:** AUDREY PERSON (ADMINISTRATOR)
- **Authorized official phone:** (402) 397-7178

## Contact information

- **Practice address:** 111 1/2 S 90TH ST, OMAHA, NE 68114-3907
- **Practice address phone:** (402) 397-7178
- **Practice address fax:** (402) 397-7591
- **Mailing address:** 10707 PACIFIC ST STE 100, OMAHA, NE 68114-4762
- **Mailing address phone:** (402) 397-7178
- **Mailing address fax:** (402) 397-7591

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/01/2025