Organization
ACKLEY MEDICAL CENTER
Active
Parent organization
ELLSWORTH MUNICIPAL HOSPITAL
Other names
A department of Ellsworth Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLSWORTH MUNICIPAL HOSPITAL
Authorized official
DARLA SUE NEDERHOFF (CLINIC MANAGER)
(641) 847-2625
Entity
Organization
Contact information
Practice address
1000 10TH AVE, ACKLEY, IA 50601-1701
(641) 847-2625
(641) 847-2509
Mailing address
1000 10TH AVE, ACKLEY, IA 50601-1701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
118827
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118827
LICENSE NUMBER
IA
Enumeration date
08/08/2011
Last updated
12/03/2020
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