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ALEGENT CREIGHTON CLINIC NPI 1134283013


NPI Information

NPI: 1134283013
Provider Name: ALEGENT CREIGHTON CLINIC

Doing Business As: ALEGENT HEALTH WOMENS HEALTHCARE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
800 MERCY DR
SUITE 210
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 323-9250
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ALEGENT CREIGHTON CLINIC is an obstetrics gynecology in Council Bluffs, IA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ALEGENT CREIGHTON CLINIC NPI is 1134283013. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alegent Health Womens Healthcare.

The provider's business location address is:

800 MERCY DR
SUITE 210
COUNCIL BLUFFS, IA
ZIP 51503-128
Phone: (712) 323-9250

The provider's authorized official is Maureen A. Cavanaugh .
The authorized official title is Compliance Officer and has the following contact phone number (402) 343-4328.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 12/28/2012.


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
1207V00000XObstetrics & GynecologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141460MEDICARE ID-TYPE UNSPECIFIED

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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