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Contact Information

ALEGENT CREIGHTON CLINIC
12809 W DODGE RD
OMAHA, NE68154-2155
 Phone: 402-343-4328
 Fax: 402-343-4389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ALEGENT CREIGHTON CLINIC

NPI # 1699035931
LBN Legal business name ALEGENT CREIGHTON CLINIC
Authorized official MAUREEN CAVANAUGH - (COMPLIANCE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2012
Last updated 07/24/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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