Organization
NEBRASKA MEDICAL CENTER
Active
Other names
Clarkson Heart Center
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN A FOSDICK (PRESIDENT AND CEO)
(402) 552-2040
Entity
Organization
Contact information
Practice address
4239 FARNAM ST, #100, OMAHA, NE 68131-2868
(402) 552-2320
(402) 552-2330
Mailing address
4239 FARNAM ST, #100, OMAHA, NE 68131-2868
(402) 552-2320
(402) 552-2330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/12/2008
Last updated
05/01/2018
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