# ALEGENT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alegent Health Physician Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184642159
- **Authorized official:** EVERT KUIPER (CEO)
- **Authorized official phone:** (402) 343-4420

## Contact information

- **Practice address:** 11111 S 84TH ST, PAPILLION, NE 68046-4122
- **Practice address phone:** (402) 593-3100
- **Practice address fax:** (402) 593-3117
- **Mailing address:** PO BOX 642117, OMAHA, NE 68164-8117
- **Mailing address phone:** (402) 717-4377
- **Mailing address fax:** (402) 717-4317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 02/10/2022