| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 6901 N 72nd St, Omaha, Nebraska |
| Authorized Official Name and Position | Evert Kuiper (INTERIM CEO - CHI HEALTH) |
| Authorized Official Contact | 4023434420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 34640 Omaha NE 68134-0640 Ph: (402) 717-7865 | 6901 N 72nd St Omaha NE 68122-1709 Ph: (402) 572-2291 |
| NPI Number | 1427283795 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427283795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 260002 (Nebraska) | Primary |
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