# ALEGENT HEALTH IMMANUEL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1912085184
- **Authorized official:** EVERT KUIPER (CEO - CHI HEALTH)
- **Authorized official phone:** (402) 343-4420

## Contact information

- **Practice address:** 6901 N 72ND ST, OMAHA, NE 68122-1709
- **Practice address phone:** (402) 572-2291
- **Mailing address:** PO BOX 776215, CHICAGO, IL 60677-6215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 260002 | NE | — |
| 273R00000X | Psychiatric Hospital Unit | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 260002 | NE | Yes |

## Other

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