# ALEGENT CREIGHTON CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHI NEBRASKA
- **Other names:** Alegent Health Clinic - Glenwood RHC, CHI HEALTH CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225332430
- **Legal business name:** CHI NEBRASKA
- **Authorized official:** KEITH JANKUSKI (CEO/PRESIDENT)
- **Authorized official phone:** (402) 343-4374

## Contact information

- **Practice address:** 1203 S LOCUST ST, GLENWOOD, IA 51534-1872
- **Practice address phone:** (712) 527-3699
- **Mailing address:** 7261 MERCY RD, ATTN: CLINIC CREDENTIALING, OMAHA, NE 68124-2311
- **Mailing address phone:** (402) 398-6255
- **Mailing address fax:** (402) 829-8513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 09/09/2019
