Organization Active NPI

Heartland Center for Reproductive Medicine

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
National Provider Identifier
1295890176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASC031 Issued in NE
Legal business name
HEARTLAND CENTER FOR REPRODUCTIVE MEDICINE
Practice address
7308 S 142ND St
Omaha, NE 68138-6804
Phone
(402) 717-4200
Fax
(402) 717-4231
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deette Staebell
Title
Administrator
Phone
(402) 717-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASC031 NE Primary

Addresses

Primary practice location

7308 S 142ND St
Omaha, NE 68138-6804

Mailing address

7308 S 142ND St
Omaha, NE 68138-6804
Phone (402) 717-4200

Other identifiers 1

IdentifierTypeStateIssuer
35871OtherNEBCBS PROVIDER NUMBER

Other names 1

  • Heartland Center for Reproductive Medicine Surgery Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0899348Heartland Center for Reproductive Medicine PC7308 South 142ND Street, Omaha, NE 68138AccreditationDec 28, 2027
28D1049334Heartland Center for Reproductive Medicine, PC7308 S 142ND Street, Omaha, NE 68138Provider-performed microscopyFeb 8, 2028

National Provider Directory

National Provider Directory

Locations

8560 Foxtail Dr
#201
Lincoln, NE 68526
Phone (402) 219-3873

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295890176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 S 142ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681386804",
            "telephone_number": "402-717-4200",
            "fax_number": "402-717-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7308 S 142ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681386804",
            "telephone_number": "402-717-4200",
            "fax_number": "402-717-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CENTER FOR REPRODUCTIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAEBELL",
        "authorized_official_first_name": "DEETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-717-4200"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "35871",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Center for Reproductive Medicine Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.