Organization
ALEGENT CREIGHTON HEALTH
Active
Other names
CHI Health Lakeside
Organization subpart
No
Provider details
NPI number
Authorized official
EVERT KUIPER (CEO - CHI HEALTH)
(402) 343-4420
Entity
Organization
Contact information
Practice address
17201 WRIGHT ST, SUITE 202, OMAHA, NE 68130-2042
(402) 717-4700
Mailing address
17201 WRIGHT ST, SUITE 202, OMAHA, NE 68130-2042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20611
DHHS COSMETOLOGY SALON LICENSE
NE
Enumeration date
03/07/2007
Last updated
02/10/2022
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