# ALEGENT CREIGHTON CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alegent Health Womens Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134283013
- **Authorized official:** MAUREEN A. CAVANAUGH (COMPLIANCE OFFICER)
- **Authorized official phone:** (402) 343-4328

## Contact information

- **Practice address:** 800 MERCY DR, SUITE 210, COUNCIL BLUFFS, IA 51503-3128
- **Practice address phone:** (712) 323-9250
- **Mailing address:** PO BOX 642117, OMAHA, NE 68164-8117
- **Mailing address phone:** (402) 717-4377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 12/28/2012
