# ELLSWORTH MUNICIPAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLSWORTH MUNICIPAL HOSPITAL
- **Other names:** Ellsworth Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568514297
- **Legal business name:** ELLSWORTH MUNICIPAL HOSPITAL
- **Authorized official:** MR. MICHAEL WHITE (CFO)
- **Authorized official phone:** (641) 648-4631

## Contact information

- **Practice address:** 322 1-2 COLLEGE AVENUE, IOWA FALLS, IA 50126
- **Practice address phone:** (641) 648-3202
- **Practice address fax:** (641) 648-3203
- **Mailing address:** 322 1-2 COLLEGE AVENUE, IOWA FALLS, IA 50106
- **Mailing address phone:** (641) 648-3202
- **Mailing address fax:** (641) 648-3203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 12/03/2020