Provider Demographics
NPI:1154678076
Name:ALEGENT HEALTH PARTNERS
Entity Type:Organization
Organization Name:ALEGENT HEALTH PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:OASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-255-1620
Mailing Address - Street 1:2301 N 117TH AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3483
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2301 N 117TH AVE
Practice Address - Street 2:STE 120
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3484
Practice Address - Country:US
Practice Address - Phone:402-255-1620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty