Organization
ALEGENT CREIGHTON CLINIC
Active
Parent organization
CHI NEBRASKA
Other names
CHI Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHI NEBRASKA
Authorized official
KEITH JANKUSKI (COO)
(402) 343-4374
Entity
Organization
Contact information
Practice address
12809 W DODGE ROAD, OMAHA, NE 68154-2155
(402) 398-6255
(402) 829-8513
Mailing address
12809 W DODGE ROAD, OMAHA, NE 68154-2155
(402) 398-6255
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/16/2012
Last updated
08/09/2016
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