Organization
ALEGENT CREIGHTON HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE TIESI (SENIOR DIRECTOR OF PHARMACY)
(402) 343-4546
Entity
Organization
Contact information
Practice address
3308 SAMSON WAY STE 106A, BELLEVUE, NE 68123-3235
(402) 291-5076
(402) 293-9464
Mailing address
3308 SAMSON WAY STE 106A, BELLEVUE, NE 68123-3235
(402) 291-5076
(402) 293-9464
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2807
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204528
—
IA
05
—
10026519106
—
NE
01
—
2807
NEBRASKA COMMUNITY PHARMACY PERMIT
NE
01
—
4704
LICENSE
IA
Enumeration date
10/05/2006
Last updated
10/23/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us