Organization
OMAHA AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE MARIA FINKEN (ADMINISTRATOR)
(402) 391-7246
Entity
Organization
Contact information
Practice address
825 N 90TH ST, OMAHA, NE 68114-2702
(402) 391-7246
(402) 408-1783
Mailing address
825 N 90TH ST, OMAHA, NE 68114-2706
(402) 391-7246
(402) 408-1783
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA10540
—
NE
Enumeration date
12/06/2006
Last updated
04/22/2022
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