Organization
GRAND ISLAND SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN TERRY (ADMINISTRATOR)
(308) 384-6400
Entity
Organization
Contact information
Practice address
3610 RICHMOND CIR, GRAND ISLAND, NE 68803-3927
(308) 384-6400
(308) 398-6420
Mailing address
PO BOX 5434, GRAND ISLAND, NE 68802-5434
(308) 384-6400
(308) 398-6420
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC008
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01383
BCBS PROVIDER ID
NE
01
—
490004345
MEDICARE RR PROVIDER ID
NE
Enumeration date
05/23/2005
Last updated
06/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us