ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM (NPI# 1871665372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871665372 |
| Entity Type | Organization |
| Organization Name | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM |
| Practice Address |
359 Indian Hills Dr Glenwood IA 51534-1953 |
| Mailing Address |
Po Box 1c Council Bluffs IA 51502-3001 |
| Practice Telephone | 7125272049 |
| Mailing Telephone | 4025272049 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ANDREA J HEFFELFINGER (DIRECTOR OF ACCOUNTING) |
| Authorized Official Telephone | 4023434460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 65PM28 | IA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0010090 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Mercy Dr, Council Bluffs, IA 515033128 | 4025272049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336382530 | Alegent Health Bergan Mercy Health System | Home Health | 703 Rosary Dr, Corning, IA 50841-1685 | 2009-04-17 |
| 1346438041 | Alegent Health Bergan Mercy Health System | Durable Medical Equipment & Medical Supplies | 7710 Mercy Rd Ste 105, Omaha, NE 68124-2372 | 2007-10-09 |
| 1396969499 | Alegent Health Bergan Mercy Health System | Psychiatric Unit | 415 S 25th Ave, Omaha, NE 68131-3654 | 2007-04-12 |
| 1629147418 | Alegent Health Bergan Mercy Health System | Durable Medical Equipment & Medical Supplies | 5428 F St, Omaha, NE 68117-2815 | 2006-11-07 |
| 1932278728 | Alegent Health Bergan Mercy Health System | Hospice Care, Community Based | 7415 Cedar St, Omaha, NE 68124-2367 | 2006-11-07 |
| 1982773776 | Alegent Health Bergan Mercy Health System | Dietitian, Registered | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2006-11-07 |
| 1770664245 | Alegent Health Bergan Mercy Health System | Home Health | 810 N 96th St Ste 201, Omaha, NE 68114-2767 | 2006-10-18 |
| 1841611654 | Alegent Health Bergan Mercy Health System | Counselor | 7710 Mercy Rd, Suite 303, Omaha, NE 68124-2372 | 2013-12-20 |
| 1770854663 | Alegent Health Bergan Mercy Health System | Internal Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-01-24 |
| 1942433701 | Alegent Health Bergan Mercy Health System | Clinic/Center | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2009-08-27 |
| Street Address |
359 INDIAN HILLS DR |
| City | GLENWOOD |
| State | IA |
| Zip Code | 51534-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932421286 | Michael J Hanlon | Pharmacist | 2803 East Kanesville Boulevard, Council Bluffs, IA 51534 | 2010-02-26 |
| 1417143199 | Nancy Goodell Schmailzl | Pharmacist | 1206 Locust, Glenwood, IA 51534 | 2007-09-17 |
| 1639372055 | Margramon P C | Pharmacy | 1206 S Locust St, Glenwood, IA 51534 | 2007-06-06 |
| 1083824791 | Denise Jaye Johnson | Physical Therapist | 212 Independence Ave, Suite 100, Glenwood, IA 51534 | 2007-05-23 |
| 1841355575 | On With Life Extended Service, Ltd. | Skilled Nursing Facility | 714 Lacey St, Glenwood, IA 51534 | 2006-12-22 |
| 1033270913 | Robert F Lothrop Dds PC | Dentist | 112 S Vine, Glenwood, IA 51534 | 2006-12-13 |
| 1689749806 | Tracy A Stromgren | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2006-11-22 |
| 1417022096 | Glenwood Family Dentistry PC | Dentist | 514 First St, Glenwood, IA 51534 | 2006-11-21 |
| 1023105855 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 320 Ebaugh Street, Glenwood, IA 51534 | 2006-10-05 |
| 1801018452 | Stromgren Chiropractic Pa | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2007-05-03 |
| Find all providers in zip 51534 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568929339 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 930 South Iowa Ave, Mason City, IA 50402 | 2019-02-27 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1780880310 | Hillcrest Family Services | Psychiatric Residential Treatment Facility | 2445 Hillcrest Rd, Dubuque, IA 52001 | 2007-06-21 |
| 1134265291 | Christian Home Association-children's Square U.S.A. | Psychiatric Residential Treatment Facility | North 6th & Ave E, Council Bluffs, IA 51502-3008 | 2007-01-29 |
| 1245309749 | Vera French Sheridan Springs | Psychiatric Residential Treatment Facility | 5006 Sheridan St., Davenport, IA 52806-4167 | 2006-11-07 |
| 1245220938 | Orchard Place | Psychiatric Residential Treatment Facility | 925 Sw Porter Ave, Des Moines, IA 50315-7235 | 2005-10-25 |
| 1205393071 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, North Oaks Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1194282962 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, Mcintyre Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1992262760 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1902119118 | Orchard Place | Psychiatric Residential Treatment Facility | 808 5th Ave, Des Moines, IA 50309-1307 | 2010-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.