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Organization
PROFESSIONAL SERVICES OF CREIGHTON UNIVERSITY MEDICAL CENTER, LLC
Active
Organization
PROFESSIONAL SERVICES OF CREIGHTON UNIVERSITY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ADAMS (SVP REGIONAL OPERATIONS, TENET)
(469) 893-2563
Entity
Organization
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-5371
(402) 449-5020
Mailing address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-5371
(402) 449-5020
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
Other
Enumeration date
06/10/2009
Last updated
06/23/2016
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