Organization
NEBRASKA SPINE HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN RIDENOUR (DIRECTOR, BUSINESS OPERATIONS)
(402) 572-3689
Entity
Organization
Contact information
Practice address
6901 N 72ND ST STE 2300, OMAHA, NE 68122-1709
(405) 572-3000
(402) 572-2193
Mailing address
6901 N 72ND ST STE 2300, OMAHA, NE 68122-1709
(405) 572-3000
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025971600
—
NE
Enumeration date
10/30/2018
Last updated
10/30/2018
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