Provider Demographics
NPI:1508163700
Name:ORTHOPAEDIC NEURO INSTITUTE SURGICAL CENTER, LLC
Entity Type:Organization
Organization Name:ORTHOPAEDIC NEURO INSTITUTE SURGICAL CENTER, LLC
Other - Org Name:THE SURGICAL CENTER AT OMNI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD MEMBER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:W
Authorized Official - Last Name:KOWALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:615-301-8143
Mailing Address - Street 1:1739 SPRING CREEK LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102
Mailing Address - Country:US
Mailing Address - Phone:615-301-8143
Mailing Address - Fax:615-301-8152
Practice Address - Street 1:1739 SPRING CREEK LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102
Practice Address - Country:US
Practice Address - Phone:615-301-8143
Practice Address - Fax:615-301-8152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical