Alegent Creighton Health
LBN: Alegent Creighton Health
Alegent Creighton Health is an health care organization with primary practice located at 3135 W Broadway Suite 101, Council Bluffs IA 51501-3359. 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 (712) 242-2070, or through Tiesi, Mike via phone (402) 343-4546.
Contact Information
Primary practice address
3135 W Broadway Suite 101
Council Bluffs IA 51501-3359
Phone: (712) 242-2070
Fax: (712) 242-2077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1619396835 |
|---|---|
| LBN Legal business name | Alegent Creighton Health |
| DBA Doing business as | |
| Authorized official | Tiesi, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 15th, 2014 |
| Last updated | Oct 23rd, 2017 - about 7 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619396835 | NPPES |
| Nebraska | Other | 1081 | NEBRASKA NON RESIDENT MAIL SERVICE PHARMACY |
| Nebraska | MEDICAID | 0220546 | NEBRASKA NON RESIDENT MAIL SERVICE PHARMACY |
| Nebraska | MEDICAID | 10026519120 | NEBRASKA NON RESIDENT MAIL SERVICE PHARMACY |
| Nebraska | Other | 1504 | NEBRASKA NON RESIDENT MAIL SERVICE PHARMACY |
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