Alegent Creighton Health

LBN: Alegent Creighton Health
Alegent Creighton Health is an health care organization with primary practice located at 1288 Valley View Drive Pharmacy Ste 101, Council Bluffs IA 51503-5245. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Alegent Creighton Health can be contacted via phone (000) 000-0000, or through Tiesi, Mike via phone (402) 343-4546.

Contact Information

Primary practice address
1288 Valley View Drive Pharmacy Ste 101 Council Bluffs IA 51503-5245
Fax:
Website:
Authorized official contact:
Name: Tiesi, Mike DO, RP

Health care specialties

Profile Details

NPI number 1295293744
LBN Legal business name Alegent Creighton Health
DBA Doing business as
Authorized official Tiesi, Mike DO, RP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2019
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295293744 NPPES
Iowa MEDICAID PENDING
Iowa Other PENDING
Iowa Other PENDING

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