# CREIGHTON AREA HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CREIGHTON AREA HEALTH SERVICES
- **Other names:** Creighton Area Health Services Professional Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760571640
- **Legal business name:** CREIGHTON AREA HEALTH SERVICES
- **Authorized official:** MS. KIMBERLY J. HIXSON (CFO)
- **Authorized official phone:** (402) 358-5715

## Contact information

- **Practice address:** 1503 MAIN ST, CREIGHTON, NE 68729-3007
- **Practice address phone:** (402) 358-5700
- **Practice address fax:** (402) 358-5769
- **Mailing address:** PO BOX 186, CREIGHTON, NE 68729-0186
- **Mailing address phone:** (402) 358-5715
- **Mailing address fax:** (402) 358-5769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 11/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04349 | PROF SVCS (BCBS OF NE) | NE |
| 01 | — | 08607 | CRNAS (BCBS OF NE) | NE |
| 05 | — | 10025004300 | — | NE |
| 05 | — | 10025363700 | — | NE |