Provider Demographics
NPI:1043396856
Name:ALEGENT HEALTH MERCY HOSPITAL, CORNING, IOWA
Entity Type:Organization
Organization Name:ALEGENT HEALTH MERCY HOSPITAL, CORNING, IOWA
Other - Org Name:ALEGENT HEALTH AT HOME MEDICAL EQUIPMENT - CORNING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO - CHI HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:EVERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KUIPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-343-4420
Mailing Address - Street 1:5428 F ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68117-2815
Mailing Address - Country:US
Mailing Address - Phone:641-322-5453
Mailing Address - Fax:
Practice Address - Street 1:402 6TH ST STE A
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:IA
Practice Address - Zip Code:50841-1614
Practice Address - Country:US
Practice Address - Phone:641-322-5453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0134528Medicaid
IA0134528Medicaid