Provider Demographics
NPI:1598423220
Name:ALEGENT CREIGHTON HEALTH
Entity Type:Organization
Organization Name:ALEGENT CREIGHTON HEALTH
Other - Org Name:CHI HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OUTPATIENT PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:B
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-717-2320
Mailing Address - Street 1:4055 YANKEE HILL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-7779
Mailing Address - Country:US
Mailing Address - Phone:402-328-4860
Mailing Address - Fax:402-328-4861
Practice Address - Street 1:4055 YANKEE HILL RD STE 101
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-7779
Practice Address - Country:US
Practice Address - Phone:402-328-4860
Practice Address - Fax:402-328-4861
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEGENT CREIGHTON HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-30
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy