| Alegent Health Physician Services | |
|
11111 S 84th St Papillion NE 68046-4122 | |
| (402) 593-3100 | |
| (402) 593-3117 |
| Full Name | Alegent Health Physician Services |
|---|---|
| Speciality | Family Medicine |
| Location | 11111 S 84th St, Papillion, Nebraska |
| Authorized Official Name and Position | Evert Kuiper (CEO) |
| Authorized Official Contact | 4023434420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alegent Health Physician Services Po Box 642117 Omaha NE 68164-8117 Ph: (402) 717-4377 | Alegent Health Physician Services 11111 S 84th St Papillion NE 68046-4122 Ph: (402) 593-3100 |
| NPI Number | 1184642159 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184642159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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