| Organization Name: | ALEGENT CREIGHTON HEALTH |
| NPI Number: | 1104251628 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAUREEN A CAVANAUGH (COMPLIANCE OFFICER) |
| Mailing Address: | 17201 Wright St Ste 100 Omaha |
| State: | NE US |
| Postal Code: | 681302042 |
| Phone Number: | 4027174760 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2013 |
| NPI Last Update Date: | 09/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |