Alegent Health - Mercy Hospital, Corning Iowa
Organization Active NPI Family Medicine Physician · Corning, IA
NPI 1821134826 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1821134826
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA
- Practice address
- 601 Rosary Dr
Corning, IA 50841-1683 - Phone
- (641) 322-5245
- NPI assigned
- Jan 29, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- CHI NEBRASKA
Authorized official
- Name
- Randy Pritza, MD
- Title
- System SVP
- Phone
- (402) 343-4477
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Practitioners 54
-
Caroline M. Amao, MD
-
Thomas Marvin Atteberry, M.D.
-
Paislee R Dalton, NP
-
Megan Lee Decker, FNP-BC
-
Stacey Lynn Hess, PMHNP
-
Emily James, ARNP FNP-BC
-
Aubrey Ann Molgaard, DNP, APRN
-
James R Scott, D.O.
-
Samantha Specht, CRNA
-
Morgan Thompson, ARNP
-
Michael John Coffey, M.D.
-
Lisa A Rengifo, NP
-
Gabriel Conley, MD
-
Mathew Wehbe, MD
-
Kartik Anand, MD
-
Mary Jane Mills, PA-C
-
Nadyne Bernadette Montiel de Gagnier, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000263 | IA | Part B Supplier - Clinic/Group Practice | 0547154940 |
Receives reassigned benefits from 53 practitioners 1 other NPI on this enrollment Practice locations: Bedford, IA; Corning, IA; Lenox, IA |
National Provider Directory
Locations
703 Rosary Dr
Corning, IA 50841
Phone (641) 322-5245
601 Rosary Dr
Corning, IA 50841
Phone (641) 322-5245
905 N Custer Ave
Grand Island, NE 68803
Phone (308) 398-2170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
601 Rosary Dr
Corning, IA 50841-1683
Mailing address
7261 Mercy Rd
Attn Lisa Smith
Omaha, NE 68124-2311
Phone (402) 398-6255
Other practice location 1
1502 Madison St
Bedford, IA 50833-1043
Phone (712) 523-2196
Other practice location 2
210 S Main St
Lenox, IA 50851-1242
Phone (641) 333-2266
Other names
- CHI Health Clinic
Other providers in Corning, IA
- Adams County Ambulance
- Adams-Taylor-Union County Case Management
- Alegent Health - Mercy Hospital, Corning Iowa
- Alegent Health - Mercy Hospital, Corning, Iowa
- Alegent Health - Mercy Hospital, Corning, Iowa
- Alegent Health Bergan Mercy Health System
- Alegent Health Mercy Hospital Corning, Iowa
- Alegent Health Mercy Hospital, Corning Ia
All providers in Corning, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.