Provider Demographics
NPI:1477590719
Name:HASTINGS SURGICAL CENTER, LLC
Entity Type:Organization
Organization Name:HASTINGS SURGICAL CENTER, LLC
Other - Org Name:HASTINGS SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-462-5440
Mailing Address - Street 1:5803 OSBORNE DR W
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-9158
Mailing Address - Country:US
Mailing Address - Phone:402-462-5441
Mailing Address - Fax:
Practice Address - Street 1:5803 OSBORNE DR W
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-9158
Practice Address - Country:US
Practice Address - Phone:402-462-5441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEASC043261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE261QA1903YMedicare ID - Type Unspecified