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).
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 |
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 Name | Type Code |
---|---|
Alegent Health Immanuel Medical Center IFH - DME | 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 |
1760567010 | Alegent Health Immanuel Medical Center | Neurological Surgery | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-10-26 |
Street Address |
6901 N 72ND ST ATTN ADMINISTRATOR |
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 | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(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. |
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 |
Please comment or provide details below to improve the information on ALEGENT HEALTH IMMANUEL MEDICAL CENTER.
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.