Organization
HEALTHSERVICESONE, P.C.
Active
Other names
First SurgiCenter
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS E WILKINSON M.D. (MEDICAL DIRECTOR)
(308) 865-2500
Entity
Organization
Contact information
Practice address
3500 CENTRAL AVE, SUITE C, KEARNEY, NE 68847-2944
(308) 865-2500
(308) 865-2506
Mailing address
PO BOX 2168, 3500 CENTRAL AVE SUITE C, KEARNEY, NE 68848-2168
(308) 865-2500
(308) 865-2506
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
76009
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076009
STATE LICENSE
NE
05
—
100212760C
—
KS
01
—
32370
BCBS
NE
01
—
490004279
RAILROAD MEDICARE
NE
Enumeration date
08/31/2005
Last updated
08/17/2018
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