Organization
PROFESSIONAL SERVICES OF CREIGHTON UNIVERSITY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ADAMS (SVP REGIONAL OPERATIONS, TENET)
(469) 893-2563
Entity
Organization
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-5371
(402) 449-5020
Mailing address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-5371
(402) 449-5020
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
Other
Enumeration date
06/10/2009
Last updated
06/23/2016
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