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Organization
ALEGENT CREIGHTON CLINIC
Active
Organization
ALEGENT CREIGHTON CLINIC
Active
Parent organization
CHI NEBRASKA
Other names
CHI Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHI NEBRASKA
Authorized official
DAVID PRITZA MD (SYSTEM SVP)
(402) 343-4477
Entity
Organization
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 717-2500
Mailing address
7261 MERCY RD, ATTN: CREDENTIALING, OMAHA, NE 68124-2311
(402) 398-6255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098672
MEDICARE PTAN
NE
01
—
098673
MEDICARE PTAN
NE
01
—
098675
MEDICARE PTAN
NE
01
—
098676
MEDICARE PTAN
NE
01
—
098678
MEDICARE PTAN
NE
01
—
098680
MEDICARE PTAN
NE
01
—
098682
MEDICARE PTAN
NE
01
—
098684
MEDICARE PTAN
NE
01
—
098685
MEDICARE PTAN
NE
01
—
098686
MEDICARE PTAN
NE
01
—
098688
MEDICARE PTAN
NE
01
—
098691
MEDICARE PTAN
NE
01
—
098694
MEDICARE PTAN
NE
01
—
098695
MEDICARE PTAN
NE
01
—
099398
MEDICARE PTAN
NE
Enumeration date
07/15/2006
Last updated
09/18/2023
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