# ALEGENT HEALTH IMMANUEL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1992964100
- **Authorized official:** EVERT KUIPER (CEO - CHI HEALTH)
- **Authorized official phone:** (402) 343-4420

## Contact information

- **Practice address:** 6845 N 68TH PLAZA, OMAHA, NE 68122
- **Practice address phone:** (402) 572-2291
- **Mailing address:** PO BOX 34640, OMAHA, NE 68134-0640
- **Mailing address phone:** (402) 717-7865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 02/10/2022