ALEGENT HEALTH IMMANUEL MEDICAL CENTER (NPI# 1427133917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427133917 |
| Entity Type | Organization |
| Organization Name | ALEGENT HEALTH IMMANUEL MEDICAL CENTER |
| Other Organization Name | CHI HEALTH IMMANUEL REHABILITATION INSTITUTE |
| Practice Address |
6901 N 72nd St Omaha NE 68122-1709 |
| Mailing Address |
Po Box 310317 Des Moines IA 50331-0317 |
| Practice Telephone | 4025722291 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | CLIFF A ROBERTSON (CEO - CHI HEALTH) |
| Authorized Official Telephone | 4023434420 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALEGENT HEALTH IMMANUEL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 260002 | NE | Hospital Units |
| Other Name | Type Code |
|---|---|
| CHI Health Immanuel Rehabilitation Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1154406643 | Alegent Health Immanuel Medical Center | Skilled Nursing Facility | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2006-10-25 |
| 1306137260 | Alegent Health Immanuel Medical Center | Durable Medical Equipment & Medical Supplies | 6901 N 72nd St, Suite 2200, Omaha, NE 68122-1709 | 2011-04-27 |
| 1801129838 | Alegent Health Immanuel Medical Center | Durable Medical Equipment & Medical Supplies | 6901 N 72nd St, Omaha, NE 68122-1709 | 2009-09-09 |
| 1427283795 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2009-05-15 |
| 1912192907 | Alegent Health Immanuel Medical Center | Radiology | 6901 N 72nd St, Omaha, NE 68122-1709 | 2007-09-12 |
| 1497891543 | Alegent Health Immanuel Medical Center | Clinical Neuropsychologist | 6901 N 72nd St, Omaha, NE 68122-1709 | 2007-01-29 |
| 1326126509 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-11-02 |
| 1912085184 | Alegent Health Immanuel Medical Center | Clinic/Center | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-11-02 |
| 1669550844 | Alegent Health Immanuel Medical Center | Durable Medical Equipment & Medical Supplies | 6901 N 72nd St, Attn Administrator, Omaha, NE 68122-1709 | 2006-11-02 |
| Street Address |
6901 N 72ND ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68122-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641686 | Paul L. Price | Pharmacist | 6901 N 72nd St, Omaha, NE 68122-1709 | 2005-06-30 |
| 1205436896 | Jennifer S Bostick | Counselor | 6901 N 72nd St, Omaha, NE 68122-1709 | 2020-11-01 |
| 1861028847 | Ryan Pirraglia | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2020-03-21 |
| 1417507260 | Stacey M Samuel | Physician Assistant | 6901 N 72nd St, Omaha, NE 68122-1709 | 2019-09-13 |
| 1861041238 | Jonathan Robbins | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2019-09-09 |
| 1114408531 | Nicole M Anthony | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2018-08-23 |
| 1144746322 | Nicole M Privitera | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2017-08-18 |
| 1588196299 | Felina Brown | Nurse Practitioner | 6901 N 72nd St, Attn: Hospital Medicine Dept., Omaha, NE 68122-1709 | 2017-03-31 |
| 1851846380 | Jacqueline Jaramillo | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2016-08-25 |
| 1942755954 | Date Amouzou | Nurse Practitioner | 6901 N 72nd St, Omaha, NE 68122-1709 | 2016-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282920 | Andre Jordan | Registered Nurse | 7215 N. 90th Street, Omaha, NE 68122 | 2014-07-08 |
| 1063748895 | Amy Kristine Jones | Speech-Language Pathologist | 703 Country View Dr, Champaign, IL 68122 | 2009-10-29 |
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
| 1376686733 | Midwest Surgical Associates PC | Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
| 1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
| 1245348754 | Scott Denman Wilt | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
| 1982620639 | Robert J Zadalis | Surgery | 6829 N 72nd St Ste 5500, Omaha, NE 68122 | 2006-07-14 |
| 1245299304 | Kristin Nicole Krobot | Physician Assistant | 6901 N. 72nd St., Immanuel Emergency Room, Omaha, NE 68122 | 2006-03-18 |
| 1326575440 | Kathleen L Koeppel | Registered Nurse | 6901 N 72nd Street, Attn: Diabetic Education, Omaha, NE 68122 | 2017-05-19 |
| Find all providers in zip 68122 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659461895 | The Nebraska Methodist Hospital | Rehabilitation Unit | 8303 Dodge Street, Omaha, NE 68114 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962689661 | Saint Francis Medical Center | Rehabilitation Unit | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2008-01-24 |
| 1245445790 | Creighton Saint Joseph Regional Healthcare System, L.L.C. | Rehabilitation Unit | 3802 Raynor Pkwy, Bellevue, NE 68123-6048 | 2007-05-10 |
| 1902923014 | Key Rehabilitation Inc | Rehabilitation Unit | 2300 W Capital Ave, Grand Island, NE 68803-2003 | 2007-03-23 |
| 1245361666 | The Mary Lanning Memorial Hospital Association | Rehabilitation Unit | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 | 2007-03-08 |
| 1043390438 | Bryan Medical Center | Rehabilitation Unit | 2300 S 16th St, Lincoln, NE 68502-3780 | 2006-10-17 |
| 1013012442 | Faith Regional Health Services | Rehabilitation Unit | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2006-09-13 |
| 1609989979 | Regional West Medical Center | Rehabilitation Unit | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2006-08-17 |
| 1972532372 | Good Samaritan Hospital | Rehabilitation Unit | 10 E 31st St, Kearney, NE 68847-2926 | 2006-06-30 |
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| 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.