# ALEGENT HEALTH IMMANUEL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alegent Health Immanuel Medical Center IFH - DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669550844
- **Authorized official:** EVERT KUIPER (CEO - CHI HEALTH)
- **Authorized official phone:** (402) 343-4420

## Contact information

- **Practice address:** 6901 N 72ND ST, ATTN ADMINISTRATOR, OMAHA, NE 68122-1709
- **Practice address phone:** (402) 572-2970
- **Mailing address:** 6901 N 72ND ST, ATTN ADMINISTRATOR, OMAHA, NE 68122-1709
- **Mailing address phone:** (402) 572-2970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 264600 | NE | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 02/10/2022