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ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM NPI 1770854663


NPI Information

NPI: 1770854663
Provider Name: ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM

Doing Business As: ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER PROFESSIONAL SERVICES

Classification: Nurse Practitioner - 363LN0005X
Entity Type: Organization

Specialization: Neonatal, Critical Care

Address:
12809 W DODGE RD
OMAHA, NE
ZIP 68154
Phone: (402) 343-4328
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ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM is a neonatal and critical care nurse practitioner in Omaha, NE. ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM NPI is 1770854663. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alegent Health Bergan Mercy Medical Center Professional Services.

The provider's business location address is:

12809 W DODGE RD
OMAHA, NE
ZIP 68154-155
Phone: (402) 343-4328
Fax: (402) 343-4389

The provider's authorized official is Evert Kuiper .
The authorized official title is Ceo and has the following contact phone number (402) 343-4420.

The enumeration date for this NPI number is 1/24/2012 and was last updated on 2/10/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2363LN0005XNurse PractitionerNeonatal, Critical CareYes

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: 4/28/2024

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