Provider Demographics
NPI:1568456903
Name:HEALTHSERVICESONE, P.C.
Entity Type:Organization
Organization Name:HEALTHSERVICESONE, P.C.
Other - Org Name:FIRST SURGICENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:308-865-2500
Mailing Address - Street 1:PO BOX 2168
Mailing Address - Street 2:3500 CENTRAL AVE SUITE C
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68848-2168
Mailing Address - Country:US
Mailing Address - Phone:308-865-2500
Mailing Address - Fax:308-865-2506
Practice Address - Street 1:3500 CENTRAL AVE
Practice Address - Street 2:SUITE C
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2944
Practice Address - Country:US
Practice Address - Phone:308-865-2500
Practice Address - Fax:308-865-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE76009261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100212760CMedicaid
NE490004279OtherRAILROAD MEDICARE
NE076009OtherSTATE LICENSE
NE32370OtherBCBS
KS100212760CMedicaid
NE490004279OtherRAILROAD MEDICARE