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ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA NPI 1558442269


NPI Information

NPI: 1558442269
Provider Name: ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA

Doing Business As: CHI HEALTH CLINIC LOGAN

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 16D0688403

Address:
118 S 1ST AVE
LOGAN, IA
ZIP 51546
Phone: (712) 644-3288
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ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA is a rural health clinic center in Logan, IA. ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA NPI is 1558442269. The provider is registered as an organization entity type.
The provider Is Doing Business As Chi Health Clinic Logan.

The provider's business location address is:

118 S 1ST AVE
LOGAN, IA
ZIP 51546-306
Phone: (712) 644-3288
Fax: (712) 644-2549

The provider's authorized official is Evert Kuiper .
The authorized official title is Ceo - Chi Health and has the following contact phone number (402) 343-4420.

The CLIA number assigned to this NPI record is 16D0688403 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 2/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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