NPI 1184897647 · live from the CMS NPI Registry
Alegent Health Bergan Mercy Health System
Psychiatry & Neurology, Psychiatry in Omaha, NE. National Provider Identifier 1184897647, active.
NPI record
| NPI | 1184897647 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 415 S 25th St, Omaha, NE 68131 |
| Practice phone | 402-717-5300 |
| Mailing address | Po Box 641130, Omaha, NE 68164 |
| Enumerated | April 7, 2008 |
| Last updated | February 10, 2022 |
| Authorized official | Evert Kuiper, Ceo |
| Other names | Alegent Health Lasting Hope Recovery Center Professional Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Clinical Nurse Specialist | 364S00000X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.