# ALEGENT HEALTH QUICK CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHI NEBRASKA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215066568
- **Legal business name:** CHI NEBRASKA
- **Authorized official:** KEITH JANKUSKI (COO)
- **Authorized official phone:** (402) 343-4409

## Contact information

- **Practice address:** 3410 N 156TH ST, OMAHA, NE 68116-2020
- **Practice address phone:** (888) 333-7520
- **Practice address fax:** (402) 614-5733
- **Mailing address:** 7261 MERCY RD, ATTN: CREDENTIALING, OMAHA, NE 68124-2311
- **Mailing address phone:** (402) 398-6255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/04/2007
- **Last updated:** 04/03/2018