Provider Demographics
NPI:1073725198
Name:HASTINGS HEART INSTITUTE LLC
Entity Type:Organization
Organization Name:HASTINGS HEART INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:BURNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-328-3048
Mailing Address - Street 1:715 N KANSAS AVENUE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901
Mailing Address - Country:US
Mailing Address - Phone:402-461-5064
Mailing Address - Fax:402-461-5067
Practice Address - Street 1:715 N KANSAS AVENUE
Practice Address - Street 2:SUITE 302
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901
Practice Address - Country:US
Practice Address - Phone:402-461-5064
Practice Address - Fax:402-461-5067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical