Alegent Creighton Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ALEGENT CREIGHTON CLINIC

Doing business as

Alegent Health Clinic - Glenwood RHC
CHI HEALTH CLINIC

Practice address

1203 S Locust St
Glenwood, IA 51534-1872

Phone

(712) 527-3699

NPI assigned

Jan 3, 2011

Organization subpart

Yes

Parent organization

CHI NEBRASKAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keith Jankuski

Title

Ceo/President

Phone

(402) 343-4374

Specialties & licenses 1

Addresses

Other names 2

• Alegent Health Clinic - Glenwood RHC Doing business as
• CHI HEALTH CLINIC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Alegent Health Brentwoo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Alegent Health Clinic

  • Surgery Physician
  • Council Bluffs, IA
  • NPI 1467569848
  NPD tax ID
• Alegent Creighton Clinic

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1699035931
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1225332430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "address_2": "ATTN: CLINIC CREDENTIALING",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6255",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S LOCUST ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341872",
            "telephone_number": "712-527-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT CREIGHTON CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHI NEBRASKA",
        "enumeration_date": "2011-01-03",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "JANKUSKI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "402-343-4374"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alegent Health Clinic - Glenwood RHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Andrew Albertson, D.D.S.
• Alegent Health Bergan Mercy Health System
• Alegent Health Bergan Mercy Health System
• Apex Children'S Center
• Becky Ranee Armstrong, LMHP
• Madison Blankenship

• Rural Health Clinic/Center in Glenwood, IA
• Providers in Glenwood, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.