Healthcare Provider Details
I. General information
NPI: 1184709669
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: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1721 COLFAX ST
SCHUYLER NE
68661-1400
US
IV. Provider business mailing address
1721 COLFAX ST
SCHUYLER NE
68661-1400
US
V. Phone/Fax
- Phone: 402-352-3745
- Fax: 402-352-8750
- Phone: 402-352-3745
- Fax: 402-352-8750
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EVERT
KUIPER
Title or Position: CEO - CHI HEALTH
Credential:
Phone: 402-343-4420