| Organization Name: | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM |
| NPI Number: | 1255529954 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAUREEN A. CAVANAUGH (COMPLIANCE OFFICER) |
| Mailing Address: | 1201 S Locust St Glenwood |
| State: | IA US |
| Postal Code: | 515341872 |
| Phone Number: | 7125271301 |
| Fax Number: | 4028988495 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |