Organization
NEBRASKA ORTHOPAEDIC HOSPITAL LLC
Active
Parent organization
NEBRASKA ORTHOPAEDIC HOSPITAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEBRASKA ORTHOPAEDIC HOSPITAL LLC
Authorized official
TARA L WISDOM (CFO)
(402) 609-1002
Entity
Organization
Contact information
Practice address
2727 S 144TH ST, OMAHA, NE 68144-5225
(402) 637-0608
(402) 637-0645
Mailing address
2808 S 143RD PLZ, OMAHA, NE 68144-5611
(402) 637-0608
(402) 637-0645
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
08/07/2009
Last updated
01/07/2021
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