Organization
SURGICENTER OF NORFOLK, LLC
Active
Other names
Fountain Point Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARIE JOHNSEN (ADMINISTRATOR)
(402) 379-5555
Entity
Organization
Contact information
Practice address
3901 W NORFOLK AVE STE L, NORFOLK, NE 68701-9218
(402) 379-5555
Mailing address
6128 S LYNCREST AVE, SIOUX FALLS, SD 57108-2560
(844) 698-9578
(605) 274-6186
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC023
NE
Other
Enumeration date
01/24/2006
Last updated
04/20/2020
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