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Contact Information

ALEGENT CREIGHTON HEALTH
6829 N 72ND ST STE 2160
OMAHA, NE68122-1724
 Phone: 402-572-2300
 Fax: 402-572-2308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ALEGENT CREIGHTON HEALTH

NPI Number 1134250046
LBN Legal business name ALEGENT CREIGHTON HEALTH
Authorized official MIKE TIESI - (SENIOR DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 12/18/2024 - More than a year ago
Identifiers
NE License # 2519
IA Medicaid 4686
NE Medicaid 10026500800
Other 2054563 PK
NE Other 2811532 NABP
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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