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General NPI Number Information
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NPI Number | 1467580019
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Entity Type | Organization
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Legal Business Name | MIDWEST SURGERY CENTER INC
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 04/30/2015
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Provider Practice Location Address
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Address Line | 10784 V ST
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City | OMAHA
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State | NE
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Zip | 68127-2952
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Country | US
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Telephone | 402-331-6387
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Fax | 402-331-6537
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Provider Business Mailing Address
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Address Line | PO BOX 241277
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City | OMAHA
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State | NE
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Zip | 68124-5277
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Country | US
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Telephone | 402-331-6387
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Fax | 402-331-6537
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL POWERS
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Credential | DPM
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Telephone | 402-331-6387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | ASC044
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License Number State | NE
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