| Chi Health Immanuel | |
|
6901 N 72nd St Omaha NE 68122-1709 | |
| (402) 572-2291 | |
| (402) 572-3177 |
| Full Name | Chi Health Immanuel |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 6901 N 72nd St, Omaha, Nebraska |
| Authorized Official Name and Position | Evert Kuiper (CEO - CHI HEALTH) |
| Authorized Official Contact | 4023434420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chi Health Immanuel 6901 N 72nd St Omaha NE 68122-1709 Ph: (402) 572-2291 | Chi Health Immanuel 6901 N 72nd St Omaha NE 68122-1709 Ph: (402) 572-2291 |
| NPI Number | 1326126509 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 9133038698 |
|---|---|
| Medicare Enrollment ID | O20090416000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326126509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 260002 (Nebraska) | Primary |
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