Organization
CREIGHTON AREA HEALTH SERVICES
Active
Parent organization
CREIGHTON AREA HEALTH SERVICES
Other names
Creighton Area Health Services Professional Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREIGHTON AREA HEALTH SERVICES
Authorized official
MS. KIMBERLY J. HIXSON (CFO)
(402) 358-5715
Entity
Organization
Contact information
Practice address
1503 MAIN ST, CREIGHTON, NE 68729-3007
(402) 358-5700
(402) 358-5769
Mailing address
PO BOX 186, CREIGHTON, NE 68729-0186
(402) 358-5715
(402) 358-5769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04349
PROF SVCS (BCBS OF NE)
NE
01
—
08607
CRNAS (BCBS OF NE)
NE
05
—
10025004300
—
NE
05
—
10025363700
—
NE
Enumeration date
10/11/2006
Last updated
11/14/2009
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