| NPI | 1316940539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN TERRY Administrator 308-384-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC008) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-06-23 |