Healthcare Provider Details

I. General information

NPI: 1699718437
Provider Name (Legal Business Name): NEBRASKA HEART HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 SO. 91ST ST.
LINCOLN NE
68526-9772
US

IV. Provider business mailing address

7500 S 91ST ST
LINCOLN NE
68526-9772
US

V. Phone/Fax

Practice location:
  • Phone: 402-327-2700
  • Fax: 402-328-3010
Mailing address:
  • Phone: 402-327-2700
  • Fax: 402-328-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberH00018
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH00018
License Number StateNE

VIII. Authorized Official

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