Organization
WOUND100 SOUTHEAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK EMSICK (CHIEF TECHNOLOGY OFFICER)
(402) 651-6040
Entity
Organization
Contact information
Practice address
4000 EAGLE POINT CORPORATE DR, BIRMINGHAM, AL 35242-1900
(205) 855-2237
Mailing address
17414 WASHINGTON ST, OMAHA, NE 68135-3202
(402) 651-6040
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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