Provider Demographics
NPI:1568547032
Name:ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER
Entity Type:Organization
Organization Name:ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER
Other - Org Name:CHI HEALTH SCHUYLER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO - CHI HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:EVERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KUIPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-343-4671
Mailing Address - Street 1:104 W 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SCHUYLER
Mailing Address - State:NE
Mailing Address - Zip Code:68661-1304
Mailing Address - Country:US
Mailing Address - Phone:402-352-4077
Mailing Address - Fax:402-352-2643
Practice Address - Street 1:104 W 17TH ST
Practice Address - Street 2:
Practice Address - City:SCHUYLER
Practice Address - State:NE
Practice Address - Zip Code:68661-1304
Practice Address - Country:US
Practice Address - Phone:402-352-4077
Practice Address - Fax:402-352-2643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE170001261QA1903X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
281323Medicare Oscar/Certification