ALEGENT HEALTH IMMANUEL MEDICAL CENTER


Address: 6901 N 72nd St, Attn Administrator, Omaha, NE 68122-1709
Phone: 4025722970

ALEGENT HEALTH IMMANUEL MEDICAL CENTER (NPI# 1669550844) 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) 1669550844
Entity Type Organization
Organization Name ALEGENT HEALTH IMMANUEL MEDICAL CENTER
Other Organization Name ALEGENT HEALTH IMMANUEL MEDICAL CENTER IFH - DME
Practice Address 6901 N 72nd St
Attn Administrator
Omaha
NE 68122-1709
Practice Telephone 4025722970
Mailing Telephone 4025722970
Enumeration Date 2006-11-02
Last Update Date 2009-03-04
Authorized Official Name MAUREEN A CAVANAUGH (COMPLIANCE OFFICER)
Authorized Official Telephone 4023434328
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BN1400X Durable Medical Equipment & Medical Supplies
Specialization: Nursing Facility Supplies
Suppliers
Y 314000000X Skilled Nursing Facility 264600 NE Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Alegent Health Immanuel Medical Center IFH - DME Doing Business As Name - Organization

Other Provider IDs and Locations

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
1760567010 Alegent Health Immanuel Medical Center Neurological Surgery 6901 N 72nd St, Omaha, NE 68122-1709 2006-10-26

Office Location

Street Address 6901 N 72ND ST
ATTN ADMINISTRATOR
City OMAHA
State NE
Zip Code 68122-1709

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881128064 Hillcrest Millard, LLC Skilled Nursing Facility 13225 Westwood Ln, Omaha, NE 68144-3515 2017-04-14
1689062861 Good Hope Healthcare, Inc. Skilled Nursing Facility 7501 Keystone Drive, Omaha, NE 68134 2014-12-22
1487076790 Snf Omaha Operating Company, LLC Skilled Nursing Facility 1131 Papillion Pky, Omaha, NE 68154-4651 2014-01-07
1861732307 Emily Hassel Skilled Nursing Facility 2129 S 46th Ave, Omaha, NE 68106-3310 2013-02-20
1871842526 Stephanie Marie Jones Skilled Nursing Facility 15516 Saratoga St, Omaha, NE 68116-8490 2012-09-09
1821345471 Angelia D Henderson Skilled Nursing Facility 2525 S. 135th Ave, Omaha, NE 68144 2012-08-13
1881844017 Ltc Healthcare At Florence, Inc. Skilled Nursing Facility 3110 Scott Circle, Omaha, NE 68112 2008-09-24
1790981504 Amber Lynn Schulz Skilled Nursing Facility 152 S 167th Cir, Omaha, NE 68118-2626 2007-06-27
1447385588 Covenant Care Midwest, Inc Skilled Nursing Facility 7410 Mercy Rd, Omaha, NE 68124-2317 2007-02-22
1154406643 Alegent Health Immanuel Medical Center Skilled Nursing Facility 6809 N 68th Plz, Omaha, NE 68152-2117 2006-10-25
Find all providers in OMAHA

Competitor

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City OMAHA
Zip Code 68122

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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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