Organization · NPI-2

Alegent Health

Family Medicine · Papillion, NE

NPI number1184642159
StatusActive
Last updated in NPPESFeb 10, 2022

Details

NPI
1184642159
Entity type
Organization (NPI-2)
Legal business name
Alegent Health
Organization subpart
No
Enumeration date
Jul 18, 2006
Certification date
Feb 10, 2022
Last updated
Feb 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Alegent Health Physician Services (Doing Business As)

Practice location

11111 S 84th St
Papillion, NE 68046-4122

Phone 402-593-3100 · Fax 402-593-3117

Mailing address

Po Box 642117
Omaha, NE 68164-8117

Phone 402-717-4377 · Fax 402-717-4317

Authorized official

Evert Kuiper
Ceo
4023434420

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