Healthcare Provider Details

I. General information

NPI: 1780601781
Provider Name (Legal Business Name): ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 COLFAX ST
SCHUYLER NE
68661
US

IV. Provider business mailing address

1721 COLFAX ST
SCHUYLER NE
68661-1400
US

V. Phone/Fax

Practice location:
  • Phone: 402-352-3745
  • Fax: 402-352-8750
Mailing address:
  • Phone: 402-352-3745
  • Fax: 402-352-8750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

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