# ELLSWORTH MUNICIPAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLSWORTH MUNICIPAL HOSPITAL
- **Other names:** IOWA FALLS CLINIC, Iowa Falls Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043229735
- **Legal business name:** ELLSWORTH MUNICIPAL HOSPITAL
- **Authorized official:** GEORGE VON MOCK (CEO)
- **Authorized official phone:** (641) 648-7010

## Contact information

- **Practice address:** 920 SOUTH OAK ST, SUITE 1, IOWA FALLS, IA 50126-9506
- **Practice address phone:** (641) 648-7100
- **Practice address fax:** (641) 648-7095
- **Mailing address:** 920 SOUTH OAK ST, SUITE 1, IOWA FALLS, IA 50126-9506
- **Mailing address phone:** (641) 648-7101
- **Mailing address fax:** (641) 648-7095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 11/25/2024