NPIMap

Organization Active NPI

Alegent Creighton Clinic

Doing business as CHI Health Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
National Provider Identifier
1598811069
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALEGENT CREIGHTON CLINIC
Doing business as
CHI Health Clinic
Practice address
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone
(855) 524-4001
NPI assigned
Jan 26, 2007
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHI NEBRASKAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
David Pritza, MDNPI 1942277272
Title
SVP
Phone
(402) 343-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

800 Mercy Dr
Council Bluffs, IA 51503-3128

Mailing address

7261 Mercy Rd
Attn: Credentialing
Omaha, NE 68124-2311
Phone (402) 398-6255

Other practice location 1

1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (712) 328-8800

Other practice location 2

3135 W Broadway
Council Bluffs, IA 51501-3359
Phone (712) 328-9100

Other names 1

  • CHI Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000817 IA Part B Supplier - Clinic/Group Practice 1951210418 Receives reassigned benefits from 563 practitioners
2 other NPIs on this enrollment
Practice locations: Onawa, IA; Shenandoah, IA; Red Oak, IA; Newton, IA; Missouri Valley, IA; Harlan, IA; Council Bluffs, IA; Denison, IA…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2266905CHI Health Clinic Heart Institute800 Mercy Dr, Council Bluffs, IA 51503Certificate of waiverAug 16, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 88)

3137 W Broadway
Council Bluffs, IA 51501

3501 Harry Langdon Blvd
Ste 1
Council Bluffs, IA 51503

715 Harmony St
Ste 201
Council Bluffs, IA 51503

800 Mercy Dr
#220
Council Bluffs, IA 51503
Phone (712) 388-2660

800 Mercy Dr
Ste 200
Council Bluffs, IA 51503

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

801 Harmony St
Ste 401
Council Bluffs, IA 51503
Phone (402) 399-9990

1300 Walnut St
Ste 102
Des Moines, IA 50309
Phone (515) 243-1180

809 Elm St
Missouri Vly, IA 51555
Phone (712) 642-2794

1905 E Summit St
Red Oak, IA 51566
Phone (712) 623-5416

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

1103 Galvin Rd S
Ste G
Bellevue, NE 68005
Phone (402) 292-1072

2206 Longo Dr
Ste 100
Bellevue, NE 68005
Phone (402) 291-4778

3802 Raynor Pkwy
Ste 100
Bellevue, NE 68123

3802 Raynor Pkwy
Ste 200
Bellevue, NE 68123

4112 Twin Creek Dr
Bellevue, NE 68123
Phone (402) 342-0190

14098 Mother Teresa LN
Boys Town, NE 68010

3020 18th St
Columbus, NE 68601
Phone (402) 562-8714

1908 N 203rd St
Ste 2
Elkhorn, NE 68022
Phone (402) 289-4031

2626 W Faidley Ave
Grand Island, NE 68803

102 W Highway 370
Gretna, NE 68028
Phone (402) 332-2772

3219 Central Ave
Ste 200
Kearney, NE 68847
Phone (308) 865-2370

3219 Central Ave
Ste 202
Kearney, NE 68847
Phone (308) 865-2370

3320 A Ave
Kearney, NE 68847
Phone (308) 865-2363

9801 Giles Rd
Ste 1
La Vista, NE 68128
Phone (402) 955-8400

Practitioners & affiliated clinicians

Practitioners 1,751

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,751

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1598811069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "address_2": "ATTN: CREDENTIALING",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "855-524-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035245",
            "country_code": "US",
            "telephone_number": "712-328-8800",
            "fax_number": "712-328-8461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3135 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515013359",
            "country_code": "US",
            "telephone_number": "712-328-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEGENT CREIGHTON CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHI NEBRASKA",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "PRITZA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "402-343-4477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.