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CAH161304-03 ALEGENT HEALTH - MERCY HOSPITAL, CORNING, IOWA d/b/a CHI Health Mercy Corning (Active)
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Main Details
Name
ALEGENT HEALTH - MERCY HOSPITAL, CORNING, IOWA d/b/a CHI Health Mercy Corning
Subdivision Name
CHI Health Corning Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH161304-03
Medicare Provider Number
161304
Outpatient Facility Provider Number
163480
Additional Details
Current Program Status
Active
Registration Date
10/21/2010
Participating Start Date
1/1/2011
Participating Approval Date
10/22/2010
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
CHI Health Mercy Corning
Alicia Reed, President
(641) 322-6270
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
601 ROSARY DRIVE
CORNING, IA 50841
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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