Organization
OMEGA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAO JANG LIU M.D. (MEDICAL DIRECTOR)
(402) 493-2020
Entity
Organization
Contact information
Practice address
11606 NICHOLAS ST, SUITE 200, OMAHA, NE 68154-4478
(402) 493-2020
(402) 493-8341
Mailing address
11606 NICHOLAS ST, SUITE 200, OMAHA, NE 68154-4478
(402) 493-2020
(402) 493-8341
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0548354
IOWA MEDICAID
IA
01
—
31910
BLUE CROSS & BLUE SHIELD
NE
01
—
490004242
RAILROAD MEDICARE
NE
01
—
6890031
UNITED HEALTHCARE
NE
01
—
F231768
MIDLANDS CHOICE
NE
Enumeration date
07/30/2006
Last updated
04/29/2021
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