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ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM NPI 1982773776


NPI Information

NPI: 1982773776
Provider Name: ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM

Doing Business As: CHI HEALTH

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 28D2288007

Address:
12809 W DODGE RD
OMAHA, NE
ZIP 68154
Phone: (402) 398-6255
Get Directions

ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM is a nurse practitioner in Omaha, NE. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM NPI is 1982773776. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chi Health.

The provider's business location address is:

12809 W DODGE RD
OMAHA, NE
ZIP 68154-155
Phone: (402) 398-6255
Fax: (402) 829-8513

The provider's authorized official is Keith Jankuski .
The authorized official title is Coo and has the following contact phone number (402) 343-4409.

The CLIA number assigned to this NPI record is 28D2288007 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 12/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredNo
2363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1098611MEDICARE OSCAR/CERTIFICATIONNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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