ALEGENT CREIGHTON HEALTH


Address: 3308 Samson Way Ste 106a, Bellevue, NE 68123-3235
Phone: 4022915076

ALEGENT CREIGHTON HEALTH (NPI# 1083700959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083700959
Entity Type Organization
Organization Name ALEGENT CREIGHTON HEALTH
Practice Address 3308 Samson Way Ste 106a
Bellevue
NE 68123-3235
Practice Telephone 4022915076
Practice Fax Number 4022939464
Mailing Telephone 4022915076
Mailing Fax Number 4022939464
Enumeration Date 2006-10-05
Last Update Date 2017-10-23
Authorized Official Name MIKE TIESI (SENIOR DIRECTOR OF PHARMACY)
Authorized Official Telephone 4023434546
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
2807 NE Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NE NEBRASKA COMMUNITY PHARMACY PERMIT 2807 01
IA 0204528 05
NE 10026519106 05
IA LICENSE 4704 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295293744 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 1288 Valley View Drive, Pharmacy Ste 101, Council Bluffs, IA 51503-5245 2019-03-04
1104251628 Alegent Creighton Health Radiology 17201 Wright St Ste 100, Omaha, NE 68130-2042 2013-09-04
1952660615 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 8248 S 96th St Ste 101, La Vista, NE 68128-3126 2012-05-15
1427317205 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 13315 W Center Rd Ste 101, Omaha, NE 68144-3449 2012-05-14
1164553954 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 17201 Wright St, Suite 202, Omaha, NE 68130-2042 2007-03-07
1033288923 Alegent Creighton Health Dietitian, Registered 12809 W Dodge Road, Omaha, NE 68154-2155 2006-11-07
1760578652 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 16909 Lakeside Hills Ct Ste 107, Omaha, NE 68130-4661 2006-10-05
1508213810 Alegent Creighton Health Clinic/Center 11111 S 84th St, Papillion, NE 68046-4122 2016-05-17
1376910448 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 4220 L St, Omaha, NE 68107-1048 2015-08-25
1427453042 Alegent Creighton Health Durable Medical Equipment & Medical Supplies 16101 Evans St., Suite #101, Omaha, NE 68116-2020 2014-10-24

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ALEGENT CREIGHTON HEALTH 7261 Mercy Rd, Omaha, NE 68124-2311
Washington State Corporations ALEGENT CREIGHTON HEALTH 12809 W Dodge Rd, Omaha, NE 68154

Office Location

Street Address 3308 SAMSON WAY STE 106A
City BELLEVUE
State NE
Zip Code 68123-3235

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407482227 Gloria Pettigrew-fletcher Community Health Worker 12432 A 36th St, C20, Bellevue, NE 68123 2020-03-13
1225480676 Heidi Jean Mccoy Dentist 2110 Towne Centre Drive, Bellevue, NE 68123 2016-07-11
1538557442 Mariam Abdelghany I Physician Assistant 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 2014-12-30
1205243367 Sara Johnson Pharmacist 3614 Twin Creeks Drive, Bellevue, NE 68123 2014-07-21
1174826747 Francine Amy Drummond Dentist 1701 Independence Lane #22, Bellevue, NE 68123 2010-12-21
1053509588 Dunlow Orthodontics, P.C. Dentist 2219 Capehart Road, Suite 102, Bellevue, NE 68123 2007-10-10
1801911870 Michelle Lynn Gaeth Dentist 11536 S. 31st St., Bellevue, NE 68123 2007-03-20
1386789832 Mary Monique Rotert Psychologist 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 2007-02-21
1316084098 Kevin B Jones Family Medicine 3308 Samson Way Ste 102, Bellevue, NE 68123 2007-01-31
1467529727 Nebraska Medical Center Pharmacy 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 2006-11-29
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164864922 Costco Wholesale Corporation Pharmacy 2355 Costco Way, Bellevue, WI 54311 2013-07-22
1740305879 Sound Prescriptions LLC Pharmacy 1200 112th Ave Ne Ste A102, Bellevue, WA 98004-3708 2007-03-20
1821139551 No Frills Pharmacy LLC Pharmacy 1510 Harlan Dr, Bellevue, NE 68005-3650 2007-02-08
1255448544 The Bartell Drug Company Pharmacy 424 Bellevue Way Ne, Bellevue, WA 98004-5015 2006-08-24
1881605012 Walgreen Co Pharmacy 1802 Galvin Rd S, Bellevue, NE 68005-3813 2006-08-11
1255346292 Walgreen Co Pharmacy 6905 S 36th St, Bellevue, NE 68147-1231 2006-07-29
1134152473 Haggen Inc. Pharmacy 15751 Ne 15th St, Bellevue, WA 98008-2778 2006-07-09
1417566191 Hartig Drug Co Corp Pharmacy 115 State St, Bellevue, IA 52031-1307 2020-07-28
1326598640 Ipsen Pharmacy Services LLC Pharmacy 15615 Bel Red Rd, Bellevue, WA 98008-2300 2016-10-11
1144641986 University of Washington Pharmacy 3100 Northup Way, Bellevue, WA 98004-1467 2013-12-20
Find all providers in BELLEVUE

Competitor

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City BELLEVUE
Zip Code 68123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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