# ELLSWORTH MUNICIPAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLSWORTH MUNICIPAL HOSPITAL
- **Other names:** WOMENS HEALTH CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053738765
- **Legal business name:** ELLSWORTH MUNICIPAL HOSPITAL
- **Authorized official:** MR. MICHAEL WHITE (CEO)
- **Authorized official phone:** (641) 648-4631

## Contact information

- **Practice address:** 920 S OAK ST, IOWA FALLS, IA 50126-9506
- **Practice address phone:** (641) 648-7044
- **Practice address fax:** (641) 648-7019
- **Mailing address:** 1000 10TH AVE, ACKLEY, IA 50601-1701
- **Mailing address phone:** (641) 847-2625
- **Mailing address fax:** (641) 847-2509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 420156H | IA | Yes |
| 367A00000X | Advanced Practice Midwife | B135725 | IA | — |

## Other

- **Enumeration date:** 03/20/2014
- **Last updated:** 12/03/2020