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Contact Information

ALEGENT CREIGHTON HEALTH
16909 LAKESIDE HILLS CT
STE 107
OMAHA, NE68130-4664
 Phone: 402-758-5006
 Fax: 402-758-5094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 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 Number 1780753632
LBN Legal business name ALEGENT CREIGHTON HEALTH
Authorized official MATTHEW HAZEN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 04/27/2017 - About 9 years ago
Identifiers
NE License # 2661
NE Medicaid 10026519109
Other 2814879 NCPDP PROVIDER IDENTIFICATION NUMBER
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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