Provider Type Icon

ALEGENT CREIGHTON CLINIC NPI 1154680700


NPI Information

NPI: 1154680700
Provider Name: ALEGENT CREIGHTON CLINIC

Doing Business As: CHI HEALTH CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
12809 W DODGE ROAD
OMAHA, NE
ZIP 68154
Phone: (402) 398-6255
Get Directions

ALEGENT CREIGHTON CLINIC is an internal medicine in Omaha, NE. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ALEGENT CREIGHTON CLINIC NPI is 1154680700. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chi Health Clinic.

The provider's business location address is:

12809 W DODGE ROAD
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) 343-4374.

The enumeration date for this NPI number is 5/16/2012 and was last updated on 8/9/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyNo
2207L00000XAnesthesiologyNo
3207N00000XDermatologyNo
4207Q00000XFamily MedicineNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
7207RG0100XInternal MedicineGastroenterologyNo
8207RH0003XInternal MedicineHematology & OncologyNo
9207RI0200XInternal MedicineInfectious DiseaseNo
10207RN0300XInternal MedicineNephrologyNo
11207RP1001XInternal MedicinePulmonary DiseaseNo
12207RR0500XInternal MedicineRheumatologyNo
13207ZP0101XPathologyAnatomic PathologyNo
14208000000XPediatricsNo
15207R00000XInternal MedicineYes

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
141453MEDICARE PINIOWA
2098684MEDICARE PINNEBRASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.