| Alegent Creighton Clinic | |
|
1203 S Locust St Glenwood IA 51534-1872 | |
| (712) 527-3699 | |
| Not Available |
| Full Name | Alegent Creighton Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1203 S Locust St, Glenwood, Iowa |
| Authorized Official Name and Position | Keith Jankuski (CEO/PRESIDENT) |
| Authorized Official Contact | 4023434374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alegent Creighton Clinic 7261 Mercy Rd Attn: Clinic Credentialing Omaha NE 68124-2311 Ph: (402) 398-6255 | Alegent Creighton Clinic 1203 S Locust St Glenwood IA 51534-1872 Ph: (712) 527-3699 |
| NPI Number | 1225332430 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225332430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |