Provider Demographics
NPI:1952852030
Name:CHI HEALTH CLINIC SPECIALTY, LLC
Entity Type:Organization
Organization Name:CHI HEALTH CLINIC SPECIALTY, LLC
Other - Org Name:GOOD LIFE BIRTH PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SYSTEM SVP
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-343-4477
Mailing Address - Street 1:7440 S 91ST ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-9797
Mailing Address - Country:US
Mailing Address - Phone:402-421-0904
Mailing Address - Fax:402-421-0946
Practice Address - Street 1:8020 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2561
Practice Address - Country:US
Practice Address - Phone:402-488-6370
Practice Address - Fax:402-488-4393
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEGENT CREIGHTON CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-24
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing