Healthcare Provider Details

I. General information

NPI: 1336155738
Provider Name (Legal Business Name): SAINT ELIZABETH REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 S 70TH ST
LINCOLN NE
68510-2462
US

IV. Provider business mailing address

555 S 70TH ST
LINCOLN NE
68510-2462
US

V. Phone/Fax

Practice location:
  • Phone: 402-219-8000
  • Fax: 402-219-8973
Mailing address:
  • Phone: 402-219-8000
  • Fax: 402-219-8973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number500007
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number500007
License Number StateNE

VIII. Authorized Official

Name: EVERT KUIPER
Title or Position: CEO - CHI HEALTH
Credential:
Phone: 402-343-4420