Provider Demographics
NPI:1184837262
Name:ALEGENT HEALTH
Entity Type:Organization
Organization Name:ALEGENT HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPITALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVISHANKAR
Authorized Official - Middle Name:VENKATA
Authorized Official - Last Name:KALAGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-593-3113
Mailing Address - Street 1:7422 ERNST STREET
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1771
Mailing Address - Country:US
Mailing Address - Phone:402-345-2583
Mailing Address - Fax:
Practice Address - Street 1:MIDLANDS HOSPITAL
Practice Address - Street 2:11111 SOUTH 84TH STREET
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046
Practice Address - Country:US
Practice Address - Phone:402-593-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22045282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access