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ALEGENT HEALTH QUICK CARE LLC NPI 1083139224


NPI Information

NPI: 1083139224
Provider Name: ALEGENT HEALTH QUICK CARE LLC

Doing Business As: CHI HEALTH QUICK CARE LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D2090276

Address:
2323 W BROADWAY
COUNCIL BLUFFS, IA
ZIP 51501
Phone: (800) 253-4368
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ALEGENT HEALTH QUICK CARE LLC is a family medicine in Council Bluffs, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALEGENT HEALTH QUICK CARE LLC NPI is 1083139224. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chi Health Quick Care Llc.

The provider's business location address is:

2323 W BROADWAY
COUNCIL BLUFFS, IA
ZIP 51501-602
Phone: (800) 253-4368
Fax: (712) 256-3456

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 16D2090276 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2017 and was last updated on 11/22/2017.


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
1207Q00000XFamily MedicineYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo

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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