# ALEGENT CREIGHTON HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHI Health Clinic Plainview
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619240918
- **Authorized official:** JEANETTE WOJTALEWICZ (CFO)
- **Authorized official phone:** (402) 343-4343

## Contact information

- **Practice address:** 704 N 3RD ST, PLAINVIEW, NE 68769-2047
- **Practice address phone:** (402) 582-4245
- **Practice address fax:** (402) 582-3940
- **Mailing address:** PO BOX 490, PLAINVIEW, NE 68769-0490
- **Mailing address phone:** (402) 582-4245
- **Mailing address fax:** (402) 582-3940

## 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:** 02/16/2012
- **Last updated:** 11/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NA2115 | MEDICARE PTAN | NE |