Organization
ELLSWORTH MUNICIPAL HOSPITAL
Active
Parent organization
ELLSWORTH MUNICIPAL HOSPITAL
Other names
IOWA FALLS CLINIC, Iowa Falls Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLSWORTH MUNICIPAL HOSPITAL
Authorized official
GEORGE VON MOCK (CEO)
(641) 648-7010
Entity
Organization
Contact information
Practice address
920 SOUTH OAK ST, SUITE 1, IOWA FALLS, IA 50126-9506
(641) 648-7100
(641) 648-7095
Mailing address
920 SOUTH OAK ST, SUITE 1, IOWA FALLS, IA 50126-9506
(641) 648-7101
(641) 648-7095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421467712
TAX ID
IA
Enumeration date
08/05/2006
Last updated
11/25/2024
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