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DSH280060C Alegent Health Bergan Mercy Health System d/b/a CHI Health Creighton University Med Center-Bergan Mercy (Active)
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Main Details
Name
Alegent Health Bergan Mercy Health System d/b/a CHI Health Creighton University Med Center-Bergan Mercy
Subdivision Name
CHI Health University Campus Emergency Department - Emergency Department
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH280060C
Medicare Provider Number
280060
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/1/2019
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
CUMC Bergan Mercy
Dennis Bierle, President, CUMC Bergan Mercy
(402) 818-2050
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
2412 Cuming Street
Suite 100
Omaha, NE 68131
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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