Provider Demographics
NPI:1447934963
Name:NEBRASKA SURGERY CENTER LLC
Entity type:Organization
Organization Name:NEBRASKA SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONHOLLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-484-9011
Mailing Address - Street 1:1730 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1613
Mailing Address - Country:US
Mailing Address - Phone:402-484-9090
Mailing Address - Fax:
Practice Address - Street 1:1730 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1613
Practice Address - Country:US
Practice Address - Phone:402-484-6600
Practice Address - Fax:402-483-0476
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEBRASKA SURGERY CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty