Organization
ALEGENT HEALTH MERCY HOSPITAL CORNING, IOWA
Active
Parent organization
CHI NEBRASKA
Other names
CHI Health Mercy Corning
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHI NEBRASKA
Authorized official
KEITH JANKUSKI (COO)
(402) 343-4409
Entity
Organization
Contact information
Practice address
603 ROSARY DR, CORNING, IA 50841-1683
(641) 322-5245
Mailing address
603 ROSARY DR, CORNING, IA 50841-1683
(641) 322-5245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21536
MEDICARE PTAN
IA
01
—
41469
MEDICARE PTAN
IA
01
—
41473
MEDICARE PTAN
IA
Enumeration date
12/22/2006
Last updated
01/27/2020
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