| Organization Name: | ALEGENT HEALTH CLINIC |
| NPI Number: | 1225332430 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAUREEN A CAVANAUGH (COMPLIANCE OFFICER) |
| Mailing Address: | 1203 S Locust St Glenwood |
| State: | IA US |
| Postal Code: | 515341872 |
| Phone Number: | 7125273699 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2011 |
| NPI Last Update Date: | 01/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |