ALEGENT HEALTH IMMANUEL MEDICAL CENTER OUTREACH – NPI #1912192907
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

ALEGENT HEALTH IMMANUEL MEDICAL CENTER OUTREACH is a provider located in OMAHA, NE. NPPES has assigned the NPI number 1912192907 to ALEGENT HEALTH IMMANUEL MEDICAL CENTER OUTREACH on September 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALEGENT HEALTH IMMANUEL MEDICAL CENTER OUTREACH” is a dba name, the actual legal business name for this organization is ALEGENT HEALTH IMMANUEL MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Feb 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALEGENT HEALTH IMMANUEL MEDICAL CENTER OUTREACH below.

NPI Profile for
ALEGENT HEALTH IMMANUEL MEDICAL CENTER

NPI Number
1912192907
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
Doing Business As (dba): ALEGENT HEALTH IMMANUEL MEDICAL CENTER OUTREACH
Primary location
6901 N 72ND ST
OMAHA, NE 68122-1709
Phone: (402) 343-4328 Fax:
Mailing address
PO BOX 642117
OMAHA, NE 68164-8117
Phone: (402) 717-4377 Fax: (402) 717-4317
Organization Subpart
No
Authorized Official
EVERT KUIPER
CEO - CHI HEALTH
Phone: (402) 343-4420
Updated
Certification Date
Feb 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
2085R0001X
- Radiology / Radiation Oncology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.