Alegent Creighton Health

LBN: Alegent Creighton Health
Alegent Creighton Health is an health care organization with primary practice located at 16909 Lakeside Hills Ct Ste 107 , Omaha NE 68130-4661. 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 (402) 758-5006, or through Tiesi, Mike via phone (402) 343-4546.

Contact Information

Primary practice address
16909 Lakeside Hills Ct Ste 107 Omaha NE 68130-4661
Fax: (402) 758-5094
Website:
Authorized official contact:
Name: Tiesi, Mike

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2288 Nebraska

Profile Details

NPI number 1760578652
LBN Legal business name Alegent Creighton Health
DBA Doing business as
Authorized official Tiesi, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760578652 NPPES
Nebraska MEDICAID 10026519109
Nebraska Other 2661

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