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Contact Information

ALEGENT CREIGHTON HEALTH
7710 MERCY RD
STE 110
OMAHA, NE68124-2372
 Phone: 402-398-6781
 Fax: 402-398-6036
 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
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ALEGENT CREIGHTON HEALTH

NPI Number 1558457440
LBN Legal business name ALEGENT CREIGHTON HEALTH
Authorized official MIKE TIESI - (SENIOR DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2006
Last updated 09/19/2025 - About 9 months ago
Identifiers
IA License # 4703
NE License # 1472
IA Medicaid 0220637
NE Medicaid 10026519113
Other 2053673 PK
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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