Professional Services of Creighton University Medical Center, LLC

NPI #1669608147 in Omaha, Nebraska

Provider Information

NPI Number: 1669608147
Entity Type: Organization
Organization Name: Professional Services of Creighton University Medical Center, LLC
Primary Specialty: Dietary Manager
Enumeration Date: Jun 10, 2009
Last Updated: Jun 23, 2016

Practice Location

Address: 601 N 30TH ST
City: Omaha
State: Nebraska
ZIP Code: 68131-2137
Phone: (402) 449-5371

Authorized Official

Name: MR. TIMOTHY ADAMS
Title: SVP REGIONAL OPERATIONS, TENET
Phone: (469) 893-2563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Neonatal-Perinatal Medicine — Neonatal-Perinatal Medicine	2080N0001X
Dietary Manager	132700000X	Primary

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