Provider Demographics
NPI:1336155738
Name:SAINT ELIZABETH REGIONAL MEDICAL CENTER
Entity Type:Organization
Organization Name:SAINT ELIZABETH REGIONAL MEDICAL CENTER
Other - Org Name:CHI HEALTH ST. ELIZABETH
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:402-343-4420
Mailing Address - Street 1:555 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2462
Mailing Address - Country:US
Mailing Address - Phone:402-219-8000
Mailing Address - Fax:402-219-8973
Practice Address - Street 1:555 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2462
Practice Address - Country:US
Practice Address - Phone:402-219-8000
Practice Address - Fax:402-219-8973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE500007261QA1903X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NED00008OtherBCBS OF NEBRASKA
NE50-00014OtherUNITED HEALTHCARE
NE=========685100006OtherTRICARE
NED00008OtherBCBS OF NEBRASKA
NE=========-20Medicaid
NE=========-00Medicaid
NE=========-00Medicaid