Healthcare Provider Details

I. General information

NPI: 1568547032
Provider Name (Legal Business Name): ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 W 17TH ST
SCHUYLER NE
68661-1304
US

IV. Provider business mailing address

104 W 17TH ST
SCHUYLER NE
68661-1304
US

V. Phone/Fax

Practice location:
  • Phone: 402-352-4077
  • Fax: 402-352-2643
Mailing address:
  • Phone: 402-352-4077
  • Fax: 402-352-2643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number170001
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number170001
License Number StateNE

VIII. Authorized Official

Name: EVERT KUIPER
Title or Position: CEO - CHI HEALTH
Credential:
Phone: 402-343-4671