Organization
NEBRASKA ORTHOPAEDIC HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L WISDOM (CFO)
(402) 609-1002
Entity
Organization
Contact information
Practice address
2808 SOUTH 143RD PLAZA, OMAHA, NE 68144-5611
(402) 637-0600
(402) 637-0705
Mailing address
2808 SOUTH 143RD PLAZA, OMAHA, NE 68144-5611
(402) 637-0600
(402) 637-0705
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H000105
NE
284300000X
Special Hospital
H000105
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0579045
—
IA
05
—
10025104500
—
NE
01
—
601373800
DOL OWC
—
Enumeration date
06/08/2005
Last updated
01/07/2021
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