STATE OF NEBRASKA ROSTER HEALTH CLINICS
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- Kimberly Atkinson
- 10 years ago
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1 STATE OF NEBRASKA ROSTER HEALTH CLINICS Department of Health and Human Division of Public Health, Licensure Unit 301 Centennial Mall South-Third Floor PO Box Lincoln, NE Health Clinics Licenses Expire February 28, of each year
2 NEBRASKA HEALTH CLINICS Total Licensed Facilities Ambulatory Surgical Centers-Licensure Only 1 Ambulatory Surgical Centers-Medicare Certified 45 Health Clinics/Public Health Clinics 28 Hemodialysis Facilities 36 TOTAL HEALTH CLINICS 110 LEGEND ASC-L TJC HC Ambulatory Surgical Center - Medicare Certified Ambulatory Surgical Center - Licensure Only Association for Ambulatory Health Care End Stage Renal Dialysis - Medicare Certified The Joint Commission Health Clinic - Licensure Only Public Health Clinic Please contact the Licensure Unit or the provider to determine current Medicare status Updated: 07/02/2015
3 Page 2 of 24 ALLIANCE (BOX BUTTE) BOX BUTTE DIALYSIS UNIT P O BOX 810, 2101 BOX BUTTE AVENUE (308) FAX: (308) BOX BUTTE GENERAL HOSPITAL DANIEL GREISS, ADMINISTRATOR ESRD024 BEATRICE (GAGE) Bsdc Public Health Clinic 3000 LINCOLN STREET (402) FAX: (402) STATE OF NEBRASKA HEALTH & HUMAN SERVICES SYSTEM TODD STULL, ADMINISTRATOR HC049 BELLEVUE (SARPY) BELLEVUE HEALTH CENTER 1002 WEST MISSION (402) FAX: (402) LEROY H. CARHART, M.D. MARY CARHART, ADMINISTRATOR HC HC001 BELLEVUE (SARPY) Cornhusker Dialysis 505 CORNHUSKER RD, SUITE 107 (402) FAX: (402) DVA RENAL HEALTHCARE, INC. CHRISTY BAKER ESRD058 REUSE c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN BELLEVUE (SARPY) DIALYSIS CLINIC, INC ESRD TWIN CREEK DRIVE (402) FAX: (402) DIALYSIS CLINIC, INC TERRY DALTON c/o: DIALYSIS CLINIC, INC 3316 DODGE STREET, OMAHA NE 68131
4 Page 3 of 24 BELLEVUE (SARPY) HEARTLAND CATARACT & LASER SURGERY CENTER, INC 1103 GALVIN ROAD SOUTH (402) FAX: (402) HAROLD R. BARES M.D. HAROLD BARES M.D., ADMINISTRATOR ASC029 BELLEVUE (SARPY) HC/L&D The Midwife's Place HC SAMSON WAY, SUITE 106 (402) FAX: (402) HEATHER RAMSEY CNM & BRIAN FINLEY MD HEATHER RAMSEY, ADMINISTRATOR c/o: HEATHER RAMSEY CNM 822 BORDEAUX AVENUE, BELLEVUE NE LABOR AND DELIVERY SERVIC BELLEVUE (SARPY) HC Total Sleep Center HC BELLEVUE MEDICAL CENTER DRIVE, STE 170 (402) FAX: (402) TOTAL SLEEP CENTER TIM GOODLETT, ADMINISTRATOR c/o: TOTAL SLEEP CENTER 5950 S 118TH CIRCLE, OMAHA NE CHADRON (DAWES) CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES 825 CENTENNIAL DRIVE (308) FAX: (308) CHADRON COMMUNITY HOSPITAL CORP. SHANE NORMAN, ADMINISTRATOR ESRD052 CHADRON (DAWES) WCHR - FAMILY REPRODUCTIVE HEALTH SERVICES HC SHELTON STREET (308) FAX: (308) CHADRON COMMUNITY HOSPITAL CORP. HAROLD KRUEGER JR, ADMINISTRATOR WCHR - ATTN SANDY ROES, 300 SHELTON STREET, CHADRON NE BRANCH/EXTENSION/OFFSITE: 11 PADDOCK - CRAWFORD BRANCH/EXTENSION/OFFSITE: 106 N MAIN STREET - GORDON BRANCH/EXTENSION/OFFSITE: 619 BOX BUTTE AVENUE - ALLIANCE
5 Page 4 of 24 COLUMBUS (PLATTE) Columbus Surgery Center, LLC ASC RD AVENUE, SUITE B (402) FAX: (402) PETER E. DIEDRICHSEN, MD BILLI BENSON, ADMINISTRATOR c/o: BILLI BENSON COLUMBUS SURGERY CENTER, LLC, P O BOX 1302, COLUMBUS NE COLUMBUS (PLATTE) DIALYSIS CENTER OF COLUMBUS ESRD TH AVENUE (402) FAX: (402) DIALYSIS CENTER OF LINCOLN, INC LARRY EMERSON, ADMINISTRATOR c/o: DIALYSIS CENTER OF LINCOLN 7910 O STREET, LINCOLN NE FREMONT (DODGE) DODGE COUNTY DIALYSIS 1949 EAST 23RD AVENUE SOUTH (402) FAX: (402) DVA RENAL HEALTHCARE, INC. CINDY CLAUSEN, ADMINISTRATOR ESRD050 c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN FREMONT (DODGE) RAI Care Centers d/b/a RAI-North Healthy Way-Fremont 2660 NORTH HEALTHY WAY (402) FAX: (402) RAI CARE CENTERS OF NEBRASKA II, LLC CINDY HOFFMAN, ADMINISTRATOR ESRD051 PERITONEAL DIALYSIS FREMONT (DODGE) SURGERY CENTER OF FREMONT, LLC ASC NORTH CLARKSON STREET (402) FAX: (402) SURGERY CENTER OF FREMONT, LLC TONYA HEMMER, ADMINISTRATOR c/o: SURGERY CENTER OF FREMONT, LLC 333 W. WACKER DRIVE, SUITE 1010, CHICAGO IL 60606
6 Page 5 of 24 FREMONT (DODGE) Three Rivers District Health Department 2400 NORTH LINCOLN (402) FAX: (402) THREE RIVERS PUBLIC HEALTH DEPARTMENT TERRA UHING, INTERIM ADMINIS HC061 BRANCH/EXTENSION/OFFSITE: 739 WEST 10TH STREET, SUITE B - WAHOO GERING (SCOTTS BLUFF) Community Action Partnership of Western Nebraska HC CRESCENT DRIVE (308) FAX: (308) COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA JANICE FITTS, ADMINISTRATOR c/o: HEALTH CENTER CAPWN HEALTH CENTER, TH STREET, GERING NE BRANCH/EXTENSION/OFFSITE: 619 BOX BUTTE AVE-LTD USE TUES JUN/OCT - ALLIANCE BRANCH/EXTENSION/OFFSITE: 221 CHADRON AVENUE - CHADRON GRAND ISLAND (HALL) CENTRAL HEALTH CENTER HC EAST STOLLEY PARK ROAD, SUITE E (308) FAX: (308) CENTRAL HEALTH CENTER, INC JANET NELSON, ADMINISTRATOR c/o: CENTRAL HEALTH CENTER P O BOX 2539, GRAND ISLAND NE BRANCH/EXTENSION/OFFSITE: 1308 NORTH ADAMS - LEXINGTON BRANCH/EXTENSION/OFFSITE: 2337 NORTH WEBB ROAD - GRAND ISLAND BRANCH/EXTENSION/OFFSITE: ND AVE, STE KEARNEY GRAND ISLAND (HALL) GRAND ISLAND DIALYSIS 203 EAST STOLLEY PARK ROAD, SUITE G (308) FAX: (308) RENAL TREATMENT CENTERS-ILLINOIS, INC DANIEL FINKENBINDER, ADMINISTRATOR ESRD057 c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN HOME HOME PERITONEAL DIALYSIS GRAND ISLAND (HALL) GRAND ISLAND SURGERY CENTER ASC008 P O BOX 5434, 3610 RICHMOND CIRCLE (308) FAX: (308) GRAND ISLAND SURGICAL CENTER, LLC KEN TERRY, ADMINISTRATOR c/o: GRAND ISLAND SURGICAL CENTER, LLC P O BOX 5434, GRAND ISLAND NE 68802
7 Page 6 of 24 GRAND ISLAND (HALL) Heartland Health Center, Inc 3307 WEST CAPITAL AVENUE (308) FAX: (308) HEARTLAND HEALTH CENTER, INC TERRI FORD-WOLFGRAM, ADMINISTRATOR HC069 GRAND ISLAND (HALL) KIDNEY DIALYSIS CENTER OF GRAND ISLAND ESRD RICHMOND CIRCLE (308) FAX: (308) RCG GRAND ISLAND, LLC TRACI LUDOWISE, ADMINISTRATOR c/o: KIDNEY DIALYSIS OF GRAND ISLAND 3516 RICHMOND CIRCLE, GRAND ISLAND NE HOME PERITONEAL DIALYSIS HASTINGS (ADAMS) HASTINGS DIALYSIS CENTER 1900 NORTH ST. JOSEPH AVENUE (402) FAX: (402) RENAL TREATMENT CENTERS-ILLINOIS, INC DANIEL FINKENBINDER, ADMINISTRATOR ESRD002 HOME PERITONEAL DIALYSIS c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN HASTINGS (ADAMS) HASTINGS FAMILY PLANNING HC NORTH MINNESOTA AVE, SUITE #1 (402) FAX: (402) THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION SHAWN RIGGS, ADMINISTRATOR c/o: SHAWN J. RIGGS, VICE PRESIDENT 715 NORTH ST JOSEPH AVENUE, HASTINGS NE HASTINGS (ADAMS) HASTINGS LASER & EYE SURGERY CENTER 715 NORTH KANSAS, SUITE 303 (402) FAX: (402) HASTINGS LASER & EYE SURGERY CENTER, LLC DENISE KRUEGER, ADMINISTRATOR ASC009
8 Page 7 of 24 HASTINGS (ADAMS) Hastings Surgical Center, Llc 5803 OSBORNE DR WEST (402) FAX: (402) HASTINGS SURGICAL CENTER LLC BROOK DAY, ADMINISTRATOR ASC043 KEARNEY (BUFFALO) FIRST SURGICENTER ASC CENTRAL AVENUE, SUITE B (308) FAX: (308) HEALTH SERVICE ONE, P.C. GREG GANGWISH, ADMINISTRATOR c/o: HEALTH SERVICE ONE, P. C. FIRST SURGICENTER, PO BOX 2168, KEARNEY NE KEARNEY (BUFFALO) HEARTLAND SURGERY CENTER TH AVENUE (308) FAX: (308) KEARNEY AMBULATORY SURGICAL CENTER, LLC DBA HEARTL ANITA HUDDLESTON, ADMINISTRATOR ASC030 KEARNEY (BUFFALO) Kearney Eye Surgical Center Inc 411 W 39TH STREET, SUITE 2 (308) FAX: (308) KEARNEY EYE SURGICAL CENTER INC NICK ABEGGLEN, ADMINISTRATOR ASC051 KEARNEY (BUFFALO) Kearney Pain Treatment Center Llc 920 EAST 56TH STREET, SUITE D (308) FAX: (308) MED-CARE, INC: NORTH PLATTE ANESTHESIA ASSOCIATES, DARIAN PIKE, ADMINISTRATOR ASC069
9 Page 8 of 24 KEARNEY (BUFFALO) Kearney Sleep Lab, Llc 109 EAST 52ND STREET, SUITE 2 (308) FAX: (308) KEARNEY SLEEP LAB, LLC MELISSA HINSLEY, ADMINISTRATOR ROBERTS ROAD, LAVISTA NE HC HC066 KEARNEY (BUFFALO) OVERLAND TRAILS RENAL CARE GROUP 5210 PARKLANE DRIVE (308) FAX: (308) OVERLAND TRAILS RENAL CARE GROUP, LLC SHELLI VEST, ADMINISTRATOR ESRD038 HOME PERITONEAL DIALYSIS LINCOLN (LANCASTER) CAPITAL CITY DIALYSIS 307 NORTH 46TH STREET (402) FAX: (402) RENAL TREATMENT CENTERS-ILLINOIS, INC AMBER GISH, ADMINISTRATOR ESRD003 HOME HOME PERITONEAL DIALYSIS PERITONEAL DIALYSIS REUSE c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN LINCOLN (LANCASTER) DIALYSIS CENTER OF LINCOLN 7910 O STREET (402) FAX: (402) DIALYSIS CENTER OF LINCOLN, INC LARRY EMERSON, ADMINISTRATOR ESRD021 LINCOLN (LANCASTER) Dialysis Center Of Lincoln Southwest ESRD SOUTH 16TH STREET (402) FAX: (402) DIALYSIS CENTER OF LINCOLN, INC LARRY EMERSON, ADMINISTRATOR c/o: DIALYSIS CENTER OF LINCOLN, INC 7910 O STREET, LINCOLN NE 68510
10 Page 9 of 24 LINCOLN (LANCASTER) DIALYSIS CENTER OF LINCOLN-NORTHWEST ESRD NORTH 26TH STREET, SUITE 106 (402) FAX: (402) DIALYSIS CENTER OF LINCOLN, INC LARRY EMERSON, ADMINISTRATOR c/o: DIALYSIS CENTER OF LINCOLN 7910 O STREET, LINCOLN NE LINCOLN (LANCASTER) Home Dialysis of Lincoln ESRD SOUTH 16TH STREET (402) FAX: (402) HOME DIALYSIS OF LINCOLN, LLC LARRY EMERSON, ADMINISTRATOR c/o: DIALYSIS CENTER OF LINCOLN 7910 O STREET, LINCOLN NE HOME HOME PERITONEAL DIALYSIS LINCOLN (LANCASTER) LINCOLN ENDOSCOPY CENTER, LLC ASC R STREET, SUITE 101 (402) FAX: (402) LINCOLN ENDOSCOPY CENTER LLC SHARON TREAT, ADMINISTRATOR c/o: ADMINISTRATION DEPT LINCOLN ENDOSCOPY CENTER, 4545 R STREET, SUITE 201, LINCOLN NE LINCOLN (LANCASTER) LINCOLN LANCASTER COUNTY HEALTH DEPT 3140 N STREET (402) FAX: (402) CITY OF LINCOLN JUDITH HALSTEAD, ADMINISTRATOR HC035 LINCOLN (LANCASTER) LINCOLN SURGERY ENDOSCOPY SERVICES, LLC ASC SOUTH 70TH STREET, SUITE 120 (402) FAX: (402) LINCOLN SURGERY ENDOSCOPY SERVICES, LLC ROBIN LINAFELTER, ADMINISTRATOR c/o: LINCOLN SURGERY ENDOSCOPY SERVICES, LLC 1710 SOUTH 70TH STREET, SUITE 200, LINCOLN NE 68506
11 Page 10 of 24 LINCOLN (LANCASTER) LOC SURGERY CENTER, INC 6900 A STREET, SUITE 200 (402) FAX: (402) LOC SURGERY CENTER, INC DOUGLAS WYATT, ADMINISTRATOR ASC025 LINCOLN (LANCASTER) NEBRASKA SURGERY CENTER, LLC 625 SOUTH 70TH STREET (402) FAX: (402) NEBRASKA SURGERY CENTER, LLC JANE HAIRE, ADMINISTRATOR ASC017 LINCOLN (LANCASTER) NEBRASKA URBAN INDIAN MEDICAL CENTER 2331 FAIRFIELD STREET (402) FAX: (402) NEBRASKA URBAN INDIAN HEALTH COALITION, INC DONNA POLK-PRIMM, ADMINISTRATOR HC041 LINCOLN (LANCASTER) OMEGA SURGERY CENTERS, LLC 1500 SOUTH 48TH STREET, SUITE 612 (402) FAX: (402) OMEGA SURGERY CENTER, LLC KELLIE JOHNSON, ADMINISTRATOR ASC024 c/o: STEWART SOLSKY, OPERATIONS MANAGER OMEGA SURGERY CENTER, 1500 SOUTH 48TH STREET, SUITE 612, LINCOLN NE LINCOLN (LANCASTER) PEOPLE'S HEALTH CENTER 1021 NORTH 27TH STREET (402) FAX: (402) PEOPLE'S HEALTH CENTER, INC BRAD MEYER, ADMINISTRATOR HC039 BRANCH/EXTENSION/OFFSITE: 2201 SOUTH 17TH STREET - LINCOLN BRANCH/EXTENSION/OFFSITE: 2246 O STREET - LINCOLN
12 Page 11 of 24 LINCOLN (LANCASTER) PHYSICIAN'S SURGICAL CENTER 1500 SOUTH 48TH STREET, SUITE 201 (402) FAX: (402) HEAD AND NECK SURGICAL PARTNERS, LLC KRISTIN WALLER, ADMINISTRATOR ASC022 LINCOLN (LANCASTER) PLANNED PARENTHOOD OF THE HEARTLAND HC SOUTH 48TH STREET, SUITE 100 (402) FAX: (402) PLANNED PARENTHOOD OF THE HEARTLAND JENNIFER WARREN-ULRICK, ADMINISTRATOR c/o: PLANNED PARENTHOOD OF THE HEARTLAND TH STREET, DES MOINES IA LINCOLN (LANCASTER) SOMNOS LABORATORIES, INC 1101 SOUTH 70TH STREET, SUITE 102 (402) FAX: (402) SOMNOS LABORATORIES, INC. T TROY STENTZ, ADMINISTRATOR HC HC031 BRANCH/EXTENSION/OFFSITE: 2424 S LOCUST STREET, SUITE E - GRAND ISLAND LINCOLN (LANCASTER) SOUTH LINCOLN DIALYSIS 3401 PLANTATION DRIVE, SUITE 140 (402) FAX: (402) RENAL TREATMENT CENTERS-ILLINOIS, INC AMBER GISH, ADMINISTRATOR ESRD048 REUSE c/o: DAVITA INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN LINCOLN (LANCASTER) Southwest Lincoln Surgery Center, Llc 2222 S 16TH STREET, SUITE 315 (402) FAX: (402) SOUTHWEST LINCOLN SURGERY CENTER LLC CARLA LAUENSTEIN, ADMINISTRATOR ASC061
13 Page 12 of 24 LINCOLN (LANCASTER) UROLOGY SURGICAL CENTER 5500 PINE LAKE ROAD (402) FAX: (402) UROLOGY SURGICAL CENTER SHERI SMITH, ADMINISTRATOR ASC028 MACY (THURSTON) CARL T CURTIS HEALTH EDUCATION CENTER P O BOX 250, 100 INDIAN HILLS DRIVE (402) FAX: (402) OMAHA TRIBE OF NEBRASKA WEHNONA STABLER, ADMINISTRATOR HC042 MC COOK (RED WILLOW) MCCOOK DIALYSIS CENTER 801 WEST C STREET (308) FAX: (308) RENAL TREATMENT CENTERS-ILLINOIS, INC JENNIFER STRONG ESRD037 PERITONEAL DIALYSIS REUSE c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN NORFOLK (MADISON) FAITH REGIONAL SURGERY CENTER 301 NORTH 27TH STREET, SUITE 3 (402) FAX: (402) NORTHEAST NEBRASKA SURGERY CENTER, LLC CANDI EMANUEL, ADMINISTRATOR ASC019 NORFOLK (MADISON) NE Nebraska Dialysis 1603 WEST PROSPECT AVENUE (402) FAX: (402) RENAL TREATMENT CENTERS-ILLINOIS, INC VICTORIA DENDINGER, ADMINISTRATOR ESRD055 c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN
14 Page 13 of 24 NORFOLK (MADISON) SURGICENTER OF NORFOLK ASC WEST NORFOLK AVENUE (402) FAX: (402) SURGICENTER OF NORFOLK CYNTHIA MILLER, ADMINISTRATOR c/o: SURGICENTER OF NORFOLK 3400 W NORFOLK AVE, NORFOLK NE NORTH PLATTE (LINCOLN) NORTH PLATTE SURGERY CENTER, LLC 621 WEST FRANCIS (308) FAX: (308) NORTH PLATTE SURGERY CENTER, LLC SHIRLEY TORWIRT, ADMINISTRATOR ASC037 NORTH PLATTE (LINCOLN) PEOPLE'S FAMILY HEALTH SERVICES, INC-FAMILY PLANNING 102 SOUTH ELM STREET (308) FAX: (308) PEOPLE'S FAMILY HEALTH SERVICES, INC. RACHEL STAHR, ADMINISTRATOR c/o: PEOPLE'S FAMILY HEALTH SVS, INC, FAMILY PLANNING 102 SOUTH ELM, NORTH PLATTE NE BRANCH/EXTENSION/OFFSITE: 111 West C Street - MC COOK NORTH PLATTE (LINCOLN) RENAL CARE GROUP - NORTH PLATTE 785 EAST FRANCIS (308) FAX: (308) RCG NORTH PLATTE, LLC TRACI LUDOWISE, ADMINISTRATOR HC013 ESRD044 c/o: RENAL CARE GROUP - NORTH PLATTE ATTN: TRACI LUDOWISE, 785 EAST FRANCIS, NORTH PLATTE NE HOME HOME PERITONEAL DIALYSIS PERITONEAL DIALYSIS O' NEILL (HOLT) AVERA ST ANTHONY'S HOSPITAL ESRD028 P O BOX 270, 300 NORTH 2ND STREET (402) FAX: (402) ST. ANTHONY'S HOSPITAL RONALD CORK, ADMINISTRATOR c/o: AVERA ST. ANTHONY'S HOSPITAL PO BOX 270, O'NEILL NE 68763
15 Page 14 of 24 OMAHA (DOUGLAS) ADVANCED CENTER FOR SURGERY ASC OAK VIEW DRIVE (402) FAX: (402) JOEL SCHLESSINGER, M.D. JOEL SCHLESSINGER, ADMINISTRATOR c/o: ADVANCED CENTER FOR SURGERY ATTN: JACKIE HALL MPAS-S, 2802 OAK VIEW DRIVE, OMAHA NE OMAHA (DOUGLAS) ADVANCED SURGERY CENTER, LLC 111 S 10TH STREET (402) FAX: (402) ADVANCED SURGERY CENTER, LLC MARGARET SUMMERFELT, ADMINISTRATOR ASC042 OMAHA (DOUGLAS) Bergan Mercy Surgery Center, Llc 7500 MERCY ROAD, SUITE 4300 (402) FAX: (402) BERGAN MERCY SURGERY CENTER, LLC LESLIE VOIGT, ADMINISTRATOR ASC064 OMAHA (DOUGLAS) DIALYSIS CLINIC, INC DODGE STREET (402) FAX: (402) DIALYSIS CLINIC, INC TERRY DALTON ESRD008 PERITONEAL DIALYSIS OMAHA (DOUGLAS) DIALYSIS CLINIC, INC NORTH 118TH CIRCLE (402) FAX: (402) DIALYSIS CLINIC, INC TERRY DALTON DIALYSIS CLINIC INC, 3316 DODGE STREET, OMAHA NE ESRD007 HOME HOME PERITONEAL DIALYSIS
16 Page 15 of 24 OMAHA (DOUGLAS) Douglas County Health Department - Public Health Clinic HC SOUTH 41ST STREET (402) FAX: (402) DOUGLAS COUNTY ADI POUR, ADMINISTRATOR c/o: DOUGLAS COUNTY HEALTH DEPARTMENT - PUBLIC HEALTH 1111 SOUTH 41ST STREET, OMAHA NE BRANCH/EXTENSION/OFFSITE: 1111 SOUTH 41ST STREET - OMAHA OMAHA (DOUGLAS) Finkle Cosmetic Surgery Center PC 4911 S 118TH STREET (402) FAX: (402) DAVID R FINKLE, MD DAVID FINKLE, ADMINISTRATOR ASC058 AAAASF OMAHA (DOUGLAS) HC Frontier Diagnostic Sleep Center HC F STREET, SUITE B (402) FAX: (402) AMJ DAD LTD SYDNEY KLEIN, ADMINISTRATOR c/o: ATTN: SYDNEY KLEIN 304 WEST 8TH STREET, COZAD NE OMAHA (SARPY) HEARTLAND CENTER FOR REPRODUCTIVE MEDICINE PC 7308 SOUTH 142ND STREET (402) FAX: (402) HEARTLAND CENTER FOR REPRODUCTIVE MEDICINE DEETTE STAEBELL, ADMINISTRATOR ASC-L ASC070 OMAHA (DOUGLAS) Heartland Health Therapy Q STREET, SUITE 101C (402) FAX: (402) HEARTLAND HEALTH THERAPY INC JULIE BYRNE, ADMINISTRATOR HC HC073
17 Page 16 of 24 OMAHA (DOUGLAS) JOHNSTON CENTER LLC 4909 SOUTH 118TH STREET (402) FAX: (402) JOHNSTON CENTER LLC MARK JOHNSTON, ADMINISTRATOR ASC040 OMAHA (DOUGLAS) Lakeside Ambulatory Surgical Center, Llc LAKESIDE HILLS PLAZA, SUITE 110 (402) FAX: (402) LAKESIDE AMBULATORY SURGICAL CENTER LLC ANNA LAGSDING, ADMINISTRATOR ASC053 OMAHA (DOUGLAS) Lakeside Endoscopy Center Llc LAKESIDE HILLS PLAZA, SUITE 201 (402) FAX: (402) LAKESIDE ENDOSCOPY CENTER LLC EDWIN SCHAFER, ADMINISTRATOR ASC054 TJC OMAHA (DOUGLAS) M.M.I. U.N.M.C. (Pediatric Feeding Disorders & C.A.S.D. Prgm) NEBRASKA MEDICAL CENTER, SUITE 1047B (402) FAX: (402) BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA MED J MICHAEL LEIBOWITZ, ADMINISTRATOR HC HC051 OMAHA (DOUGLAS) Methodist Endoscopy Center, Llc 515 NORTH 162ND AVENUE, SUITE 201 (402) FAX: (402) METHODIST ENDOSCOPY CENTER, LLC TYRON ALLI, ADMINISTRATOR ASC063 TJC
18 Page 17 of 24 OMAHA (DOUGLAS) MIDWEST ENDOSCOPY SERVICES, LLC 8901 INDIAN HILLS DRIVE, STE 100 (402) FAX: (402) MIDWEST ENDOSCOPY SERVICES, LLC BRAD SCHROEDER, ADMINISTRATOR ASC062 TJC OMAHA (DOUGLAS) MIDWEST EYE SURGERY CENTER, LLC 4353 DODGE STREET (402) FAX: (402) MIDWEST EYE SURGERY CENTER, LLC JAY SLAGLE, ADMINISTRATOR ASC016 NONE OMAHA (DOUGLAS) Midwest Surgery Center Inc ASC V STREET (402) FAX: (402) DR. MICHAEL R. POWERS MICHAEL POWERS, ADMINISTRATOR c/o: MIDWEST SURGERY CENTER V STREET, OMAHA NE OMAHA (DOUGLAS) MIRACLE HILLS SURGERY CENTER, LLC MIRACLE HILLS DRIVE, SUITE 201 (402) FAX: (402) MIRACLE HILLS SURGERY CENTER, LLC ANNE REMM, ADMINISTRATOR ASC034 OMAHA (DOUGLAS) NAR Open MRI, LLC d/b/a Nebraska Advanced Radiology 117 NORTH 32ND AVENUE, SUITE 102 (402) FAX: (402) DANA, A NEBRASKA PARTNERSHIP/DJL IMAGING, LLC ROBIN NELSON HC HC055
19 Page 18 of 24 OMAHA (DOUGLAS) Omaha Ambulatory Surgery Center LLP 825 NORTH 90TH STREET (402) FAX: (402) OMAHA CENTER LLP JEFF BIERLE, ADMINISTRATOR ASC010 NONE OMAHA (DOUGLAS) OMAHA CENTRAL DIALYSIS 144 SOUTH 40TH STREET (402) FAX: (402) DVA RENAL HEALTHCARE, INC. KATE PRESTON ESRD025 c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN OMAHA (DOUGLAS) Omaha Florence Dialysis 7454 NORTH 30TH STREET (402) FAX: (402) RENAL TREATMENT CENTERS-ILLINOIS, INC CINDY CLAUSEN, ADMINISTRATOR ESRD056 c/o: C/O DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN OMAHA (DOUGLAS) Omaha Harrison Dialysis 6610 SOUTH 168TH STREET, SUITE 8 (402) FAX: (402) RENAL TREATMENT CENTERS-ILLINOIS, INC JENNIFER STRONG ESRD054 HOME HOME PERITONEAL DIALYSIS c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN OMAHA (DOUGLAS) Omaha Home Training 8021 CASS STREET (402) FAX: (402) RENAL TREATMENT CENTERS-ILLINOIS, INC TRACY BABIN, ADMINISTRATOR 5200 VIRGINIA WAY - L & C DEPT, BRENTWOOD TN ESRD061 HOME HOME PERITONEAL DIALYSIS
20 Page 19 of 24 OMAHA (DOUGLAS) OMAHA SOUTH DIALYSIS 3339 L STREET (402) FAX: (402) DVA RENAL HEALTHCARE, INC. JINETTE LICHTER, ADMINISTRATOR ESRD062 c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN OMAHA (DOUGLAS) OMAHA SURGICAL CENTER 8051 WEST CENTER ROAD (402) FAX: (402) OSC LTD PARTNERSHIP JAMES QUINN, ADMINISTRATOR ASC020 OMAHA (DOUGLAS) OMAHA WEST DIALYSIS WEST DODGE ROAD (402) FAX: (402) DVA RENAL HEALTHCARE, INC. PATRICK DENTON ESRD006 HOME PERITONEAL DIALYSIS c/o: DAVITA, INC - ATTN REGINA COPELAND LICENSURE & CERTIFICATION, 5200 VIRGINIA WAY, BRENTWOOD TN OMAHA (DOUGLAS) OMEGA SURGERY CENTERS, LLC NICHOLAS STREET, SUITE 200 (402) FAX: (402) OMEGA HEALTH CENTERS, LLC KELLIE JOHNSON, ADMINISTRATOR ASC021
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