Basic Information
| Provider Information | |||||||||
| NPI: | 1003362997 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CHI HEALTH ST. ELIZABETH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 555 S 70TH ST | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685102462 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022198000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 555 S. 70TH ST. | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 68510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022198000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2016 | ||||||||
| LastUpdateDate: | 02/10/2022 | ||||||||
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| AuthorizedOfficialLastName: | KUIPER | ||||||||
| AuthorizedOfficialFirstName: | EVERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO - CHI HEALTH | ||||||||
| AuthorizedOfficialTelephone: | 4023434420 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 1890 | NE | Y | Hospitals | General Acute Care Hospital |
No ID Information.