Organization
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
Active
Other names
CHI Health Immanuel
Organization subpart
No
Provider details
NPI number
Authorized official
EVERT KUIPER (CEO - CHI HEALTH)
(402) 343-4420
Entity
Organization
Contact information
Practice address
6901 N 72ND ST, SUITE 2200, OMAHA, NE 68122-1709
(402) 572-3366
(402) 572-3799
Mailing address
6901 N 72ND ST, SUITE 2200, OMAHA, NE 68122-1709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21386
DHHS COSMETOLOGY SALON LICENSE
NE
Enumeration date
04/27/2011
Last updated
02/10/2022
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