Organization Name: | ALEGENT CREIGHTON HEALTH |
NPI Number: | 1417975483 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN CAVANAUGH (COMPLIANCE OFFICER) |
Mailing Address: | 17030 Lakeside Hills Plz Omaha |
State: | NE US |
Postal Code: | 681302396 |
Phone Number: | 4027585060 |
Fax Number: | 4027585079 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 03/20/2013 |
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. |