Chi Health Pharmacy-Lakeside

LBN: Alegent Creighton Health
Chi Health Pharmacy-Lakeside is an health care organization with primary practice located at 16909 Lakeside Hills Ct Ste 107, Omaha NE 68130-4664. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy, 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 Hazen, Matthew via phone (402) 343-4546.

Contact Information

Primary practice address
16909 Lakeside Hills Ct Ste 107 Omaha NE 68130-4664
Phone: (402) 758-5006
Fax: (402) 758-5094
Website:
Map and Directions
Authorized official contact:
Name: Hazen, Matthew
Phone: (402) 343-4546

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 2661 Nebraska

Profile Details

NPI number 1780753632
LBN Legal business name Alegent Creighton Health
DBA Doing business as Chi Health Pharmacy-Lakeside
Authorized official Hazen, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Apr 27th, 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 1780753632 NPPES
Nebraska MEDICAID 10026519109
Nebraska Other 2814879

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