# ALEGENT HEALTH IMMANUEL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALEGENT HEALTH IMMANUEL MEDICAL CENTER
- **Other names:** Alegent Health Immanuel Fontenelle Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154406643
- **Legal business name:** ALEGENT HEALTH IMMANUEL MEDICAL CENTER
- **Authorized official:** EVERT KUIPER (CEO -CHI HEALTH)
- **Authorized official phone:** (402) 343-4420

## Contact information

- **Practice address:** 6809 N 68TH PLZ, OMAHA, NE 68152-2117
- **Practice address phone:** (402) 572-2595
- **Mailing address:** PO BOX 34640, OMAHA, NE 68134-0640
- **Mailing address phone:** (402) 717-7889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 264600 | NE | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 02/10/2022