Organization
ALEGENT CREIGHTON HEALTH
Active
Organization
ALEGENT CREIGHTON HEALTH
Active
Other names
CHI Health Pharmacy-Lakeside
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HAZEN (DIRECTOR)
(402) 343-4546
Entity
Organization
Contact information
Practice address
16909 LAKESIDE HILLS CT, STE 107, OMAHA, NE 68130-4664
(402) 758-5006
(402) 758-5094
Mailing address
16909 LAKESIDE HILLS CT, STE 107, OMAHA, NE 68130-4664
(402) 758-5006
(402) 758-5094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2661
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026519109
—
NE
01
—
2814879
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/07/2006
Last updated
04/27/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up