| NPI | 1720058688 |
|---|---|
| Doing Business As | FOUNTAIN POINT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIELLE MARIE JOHNSEN Administrator 402-379-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC023) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2020-04-20 |