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Contact Information

ALEGENT CREIGHTON HEALTH
13315 W CENTER RD STE 101
OMAHA, NE68144-3449
 Phone: 402-717-9410
 Fax: 402-717-9411
 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
Indicates primary specialty

NPI Profile & details for ALEGENT CREIGHTON HEALTH

NPI # 1427317205
LBN Legal business name ALEGENT CREIGHTON HEALTH
Authorized official MIKE TIESI - (SENIOR DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2012
Last updated 10/23/2017 - About 9 years ago
Identifiers
NE Medicaid 10026519116
NE Other 2936 COMMUNITY PHARMACY PERMIT
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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