Provider Demographics
NPI:1083100754
Name:AUREUS MEDICAL MANAGEMENT SERVICES LLC
Entity Type:Organization
Organization Name:AUREUS MEDICAL MANAGEMENT SERVICES LLC
Other - Org Name:AUREUS RADIOLOGY LLC & AUREUS NURSING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER, OPERATIONAL COMPLIANCE
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DHSC, PMHNP
Authorized Official - Phone:402-938-2050
Mailing Address - Street 1:13609 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-5260
Mailing Address - Country:US
Mailing Address - Phone:402-938-2050
Mailing Address - Fax:
Practice Address - Street 1:13609 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-5260
Practice Address - Country:US
Practice Address - Phone:402-938-2050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty