# ALEGENT CREIGHTON CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHI NEBRASKA
- **Other names:** CHI Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548287907
- **Legal business name:** CHI NEBRASKA
- **Authorized official:** DAVID PRITZA MD (SYSTEM SVP)
- **Authorized official phone:** (402) 343-4477

## Contact information

- **Practice address:** 7500 MERCY RD, OMAHA, NE 68124-2319
- **Practice address phone:** (402) 717-2500
- **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 |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 09/18/2023

## 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 |