NPI 1083139224 · live from the CMS NPI Registry
Alegent Health Quick Care LLC
Family Medicine in Council Bluffs, IA. National Provider Identifier 1083139224, active.
NPI record
| NPI | 1083139224 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2323 W Broadway, Council Bluffs, IA 51501 |
| Practice phone | 800-253-4368 |
| Mailing address | 7261 Mercy Rd, Omaha, NE 68124 |
| Enumerated | August 9, 2017 |
| Last updated | November 22, 2017 |
| Authorized official | Keith Jankuski, Coo |
| Other names | Chi Health Quick Care LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.