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Alegent Health Immanuel Medical Center

Organization Active NPI Durable Medical Equipment & Medical Supplies · Omaha, NE

NPI 1306137260 · NPPES record last updated Feb 10, 2022

Key facts

NPI
1306137260
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
Practice address
6901 N 72ND St
Suite 2200
Omaha, NE 68122-1709
Phone
(402) 572-3366
Fax
(402) 572-3799
NPI assigned
Apr 27, 2011
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
The OBGYN Health Center (9 organizations share this tax ID)

Locations

6901 N 72nd St
Ste 2200
Omaha, NE 68122
Phone (402) 572-3366

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

6901 N 72ND St
Suite 2200
Omaha, NE 68122-1709

Mailing address

6901 N 72ND St
Suite 2200
Omaha, NE 68122-1709

Other identifiers

IdentifierTypeStateIssuer
21386OtherNEDHHS COSMETOLOGY SALON LICENSE

Other names

  • CHI Health Immanuel Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2022.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1306137260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "SUITE 2200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "SUITE 2200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-3366",
            "fax_number": "402-572-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT HEALTH IMMANUEL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "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": "21386",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Health Immanuel",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI Health Immanuel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

All providers in Omaha, NE · Durable Medical Equipment & Medical Supplies in Nebraska

Sources for this page

Verify at the official NPI Registry.