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Organization
ALEGENT CREIGHTON HEALTH
Active
Organization
ALEGENT CREIGHTON HEALTH
Active
Other names
CHI Health Clinic Plainview
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE WOJTALEWICZ (CFO)
(402) 343-4343
Entity
Organization
Contact information
Practice address
704 N 3RD ST, PLAINVIEW, NE 68769-2047
(402) 582-4245
(402) 582-3940
Mailing address
PO BOX 490, PLAINVIEW, NE 68769-0490
(402) 582-4245
(402) 582-3940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA2115
MEDICARE PTAN
NE
Enumeration date
02/16/2012
Last updated
11/23/2015
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