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Organization Active NPI

Alegent Health Bergan Mercy Health Center

Doing business as Alegent Health Surgery Center - 117th & Center

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
National Provider Identifier
1295816759
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASC003 Issued in NE
Legal business name
ALEGENT HEALTH BERGAN MERCY HEALTH CENTER
Doing business as
Alegent Health Surgery Center - 117th & Center
Practice address
11704 W Center Rd
Omaha, NE 68144-4375
Phone
(402) 333-3111
NPI assigned
Oct 18, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Evert Kuiper
Title
Ceo
Phone
(402) 343-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASC003 NE Primary

Addresses

Primary practice location

11704 W Center Rd
Omaha, NE 68144-4375

Mailing address

PO Box 3548
Omaha, NE 68103-0548
Phone (402) 717-7889

Other names 1

  • Alegent Health Surgery Center - 117th & Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bergan Mercy Health Syste15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1295816759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3548",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030548",
            "telephone_number": "402-717-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11704 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444375",
            "telephone_number": "402-333-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT HEALTH BERGAN MERCY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "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",
        "authorized_official_telephone_number": "402-343-4420"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alegent Health Surgery Center - 117th & Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alegent Health Surgery Center - 117th & 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 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.

Verify at the official NPI Registry.