ALEGENT CREIGHTON CLINIC (NPI# 1912267238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912267238 |
| Entity Type | Organization |
| Organization Name | ALEGENT CREIGHTON CLINIC |
| Other Organization Name | ALEGENT HEALTH CLINIC - CREIGHTON MEDICAL ASSOCIATES - CML |
| Practice Address |
12809 W Dodge Rd Omaha NE 68154-2155 |
| Practice Telephone | 4023434328 |
| Practice Fax Number | 4023434389 |
| Mailing Telephone | 4023434328 |
| Mailing Fax Number | 4023434389 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-08-23 |
| 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 |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Alegent Health Clinic - Creighton Medical Associates - CML | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285082917 | Alegent Creighton Clinic | Podiatrist | 1413 S Washington St, Ste 200, Papillion, NE 68046-4165 | 2016-06-03 |
| 1588012397 | Alegent Creighton Clinic | Podiatrist | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2016-06-02 |
| 1518227859 | Alegent Creighton Clinic | Allergy & Immunology | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2012-05-21 |
| 1699035931 | Alegent Creighton Clinic | Family Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-05-21 |
| 1154680700 | Alegent Creighton Clinic | Allergy & Immunology | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2012-05-16 |
| 1225332430 | Alegent Creighton Clinic | Clinic/Center | 1203 S Locust St, Glenwood, IA 51534-1872 | 2011-01-03 |
| 1598811069 | Alegent Creighton Clinic | Internal Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2007-01-26 |
| 1134283013 | Alegent Creighton Clinic | Obstetrics & Gynecology | 800 Mercy Dr, Suite 210, Council Bluffs, IA 51503-3128 | 2006-12-21 |
| 1548287907 | Alegent Creighton Clinic | Family Medicine | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2006-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALEGENT CREIGHTON CLINIC | 12809 W Dodge Rd, Omaha, NE 68154-2155 |
| Iowa Business Entities | ALEGENT CREIGHTON CLINIC | 12809 West Dodge Road, Omaha, NE 68154 |
| Street Address |
12809 W DODGE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982773776 | Alegent Health Bergan Mercy Health System | Dietitian, Registered | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2006-11-07 |
| 1699035931 | Alegent Creighton Clinic | Family Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-05-21 |
| 1770854663 | Alegent Health Bergan Mercy Health System | Internal Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-01-24 |
| 1457590846 | Rebecca Lyn Wardlaw | Specialist/Technologist | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214852 | Kamdino, Inc. | Clinical Medical Laboratory | 310 Regency Pkwy Ste 110, Omaha, NE 68114-3725 | 2020-10-29 |
| 1598055022 | Regional West Medical Center | Clinical Medical Laboratory | 17030 Lakeside Hills Plz Ste 104, Omaha, NE 68130-2396 | 2011-04-18 |
| 1659588705 | Rtg Medical | Clinical Medical Laboratory | 3028 Paddock Road, Apartment 113a, Omaha, NE 68124 | 2007-05-17 |
| 1760527683 | Creighton University | Clinical Medical Laboratory | 651 N 27th St, Criss II, Omaha, NE 68178-0023 | 2007-02-20 |
| 1548316300 | Toxicology Laboratories Incorporated | Clinical Medical Laboratory | 4472 South 84th Street, Omaha, NE 68127 | 2007-01-26 |
| 1447329941 | Dartmed | Clinical Medical Laboratory | 16707 Q St, Suite 2c, Omaha, NE 68135-1258 | 2006-11-07 |
| 1003417866 | Nebraska Medical Center | Clinical Medical Laboratory | 4400 Emile St, Omaha, NE 68198-0600 | 2020-11-06 |
| 1487251120 | The Nebraska Methodist Hospital | Clinical Medical Laboratory | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-10-06 |
| 1871106278 | Gs Labs | Clinical Medical Laboratory | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2020-08-25 |
| 1871070045 | Limitless Laboratory, LLC | Clinical Medical Laboratory | 2255 S 132nd St Ste 100, Omaha, NE 68144-2573 | 2018-07-20 |
| Find all providers in OMAHA | ||||
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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.