Alegent Creighton Health

LBN: Alegent Creighton Health
Alegent Creighton Health is an health care organization with primary practice located at 11109 S 84Th St Suite 1841, Papillion NE 68046-4121. 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) 827-4200, or through Tiesi, Mike via phone (402) 343-4546.

Contact Information

Primary practice address
11109 S 84Th St Suite 1841 Papillion NE 68046-4121
Fax: (402) 827-4205
Website:
Authorized official contact:
Name: Tiesi, Mike

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2408 Nebraska
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1790871655
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 1790871655 NPPES
Nebraska MEDICAID 10026519114
Nebraska Other 2408

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