NPIMap

Organization Active NPI

Alegent Health - Mercy Hospital, Corning Iowa

Doing business as CHI Health Clinic

  • Family Medicine Physician
  • Corning, IA
National Provider Identifier
1821134826
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA
Doing business as
CHI Health Clinic
Practice address
601 Rosary Dr
Corning, IA 50841-1683
Phone
(641) 322-5245
NPI assigned
Jan 29, 2007
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHI NEBRASKAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Randy Pritza, MD
Title
System SVP
Phone
(402) 343-4477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 1

  • CHI Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1821134826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "address_2": "ATTN LISA SMITH",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROSARY DR",
            "city": "CORNING",
            "state": "IA",
            "postal_code": "508411683",
            "telephone_number": "641-322-5245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 Madison St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IA",
            "postal_code": "508331043",
            "country_code": "US",
            "telephone_number": "712-523-2196",
            "fax_number": "712-523-2198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lenox",
            "state": "IA",
            "postal_code": "508511242",
            "country_code": "US",
            "telephone_number": "641-333-2266",
            "fax_number": "641-333-2231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHI NEBRASKA",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "PRITZA",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "SYSTEM SVP",
        "authorized_official_telephone_number": "402-343-4477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corning, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.