OrganizationActive
South Omaha Surgical Center LLC
NPI 1942697735 · Ambulatory Surgical Clinic/Center · Omaha, NE
Provider details
- NPI number
- 1942697735
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Borvan, Vice President(708) 253-7258
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
3201 S 24th St
Omaha, NE 68108-1825
Phone: (402) 504-4071
Fax: (402) 504-4124
Approximate (ZIP-level) locationGet directions
Mailing address
21120 Washington Pkwy
Frankfort, IL 60423-3112
Registry dates
- Enumerated
- 2015-04-20
- Last updated
- 2017-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.