Active NPI
Alegent Creighton Health
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
National Provider Identifier
1164553954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ALEGENT CREIGHTON HEALTH
- Practice address
- 17201 Wright St
Suite 202
Omaha, NE 68130-2042 - Phone
- (402) 717-4700
- NPI assigned
- Mar 7, 2007
- 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
- Evert Kuiper
- Title
- Ceo - CHI Health
- Phone
- (402) 343-4420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
17201 Wright St
Suite 202
Omaha, NE 68130-2042
Mailing address
17201 Wright St
Suite 202
Omaha, NE 68130-2042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20611 | Other | NE | DHHS COSMETOLOGY SALON LICENSE |
Other names 1
- CHI Health Lakeside
National Provider Directory
National Provider DirectoryLocations
17201 Wright St
Ste 202
Omaha, NE 68130
Phone (402) 334-4773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644451200000",
"number": "1164553954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17201 WRIGHT ST",
"address_2": "SUITE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17201 WRIGHT ST",
"address_2": "SUITE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302042",
"telephone_number": "402-717-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEGENT CREIGHTON HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "KUIPER",
"authorized_official_first_name": "EVERT",
"authorized_official_title_or_position": "CEO - CHI HEALTH",
"authorized_official_telephone_number": "402-343-4420"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHHS COSMETOLOGY SALON LICENSE",
"identifier": "20611",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHI Health Lakeside",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CHI Health Lakeside",
"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 Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.