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Organization
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
Active
Organization
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
Active
Other names
Alegent Health IMC Rehab Prov Services
Organization subpart
No
Provider details
NPI number
Authorized official
EVERT KUIPER (CEO - CHI HEALTH)
(402) 343-4420
Entity
Organization
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-2297
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
02/10/2022
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