Organization
UROLOGY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA STRATMAN (ADMINISTRATOR)
(402) 489-8888
Entity
Organization
Contact information
Practice address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 421-8899
(402) 421-8950
Mailing address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 421-8899
(402) 421-8950
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC028
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01082
BLUECROSS BLUE SHIELD PPO
NE
01
—
6800029
UNITED HEALTHCARE
NE
01
—
F1023
MIDLANDS CHOICE
NE
Enumeration date
06/03/2006
Last updated
02/10/2021
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