Alegent Creighton Health

LBN: Alegent Creighton Health
Alegent Creighton Health is an health care organization with primary practice located at 16101 Evans St. Suite #101, Omaha NE 68116-2020. 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) 717-9770, or through Tiesi, Mike via phone (402) 343-4546.

Contact Information

Primary practice address
16101 Evans St. Suite #101 Omaha NE 68116-2020
Phone: (402) 717-9770
Fax: (402) 717-0197
Website:
Map and Directions
Authorized official contact:
Name: Tiesi, Mike
Phone: (402) 343-4546

Health care specialties

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

Profile Details

NPI number 1427453042
LBN Legal business name Alegent Creighton Health
DBA Doing business as
Authorized official Tiesi, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2014
Last updated Oct 23rd, 2017 - about 9 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 1427453042 NPPES
Nebraska Other 595 NEBRASKA COMMUNITY PHARMACY PERMIT
Nebraska MEDICAID 10026519111 NEBRASKA COMMUNITY PHARMACY PERMIT

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