Active NPI
Creighton Saint Joseph Regional Health Care System, L.L.C.
- General Acute Care Hospital
- Omaha, NE
National Provider Identifier
1114958337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 260010
- Legal business name
- CREIGHTON SAINT JOSEPH REGIONAL HEALTH CARE SYSTEM, L.L.C.
- Practice address
- 601 N 30TH St
Omaha, NE 68131-2137 - Phone
- (402) 449-4000
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig C. Armin
- Title
- VP of Govt Programs, Tenet
- Phone
- (818) 436-2267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 260010 | NE | Primary |
Addresses
Primary practice location
601 N 30TH St
Omaha, NE 68131-2137
Mailing address
PO Box 849791
Dallas, TX 75284-9791
Phone (402) 449-4342
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01400357 | Medicaid | KY | |
| 100039180A | Medicaid | IN | |
| 180493700 | Medicaid | FL | |
| 8033723 | Medicaid | MI | |
| XHSP32674 | Medicaid | CA | |
| 000426 | Other | HUMANA | |
| 00194 | Other | BCBS OF NEBRASKA | |
| 1740853 | Medicaid | LA | |
| 100106590A | Medicaid | KS | |
| 372061 | Medicaid | AZ | |
| 95002366 | Medicaid | CO | |
| 002180400 | Medicaid | ID | |
| 76278 | Other | COVENTRY HEALTH CARE KANS | |
| HOS00030N | Medicaid | AL | |
| 0992917 | Medicaid | IA | |
| 130746105 | Medicaid | AR | |
| 636781020 | Other | AETNA US HEALTHCARE (NATI | |
| 00524939X | Medicaid | GA | |
| XHSP42674 | Medicaid | CA |
Other names 1
- Creighton University Medical Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616025600000",
"number": "1114958337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 849791",
"city": "DALLAS",
"state": "TX",
"postal_code": "752849791",
"telephone_number": "402-449-4342",
"fax_number": "402-449-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312137",
"telephone_number": "402-449-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREIGHTON SAINT JOSEPH REGIONAL HEALTH CARE SYSTEM, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A",
"authorized_official_last_name": "ARMIN",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "VP OF GOVT PROGRAMS, TENET",
"authorized_official_telephone_number": "818-436-2267",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NE",
"license": "260010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01400357",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100039180A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180493700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8033723",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XHSP32674",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000426",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEBRASKA",
"identifier": "00194",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740853",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100106590A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372061",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95002366",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002180400",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE KANS",
"identifier": "76278",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HOS00030N",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0992917",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130746105",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE (NATI",
"identifier": "636781020",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00524939X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XHSP42674",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Creighton University Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Creighton University Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.