Organization
ELLSWORTH MUNICIPAL HOSPITAL
Active
Parent organization
ELLSWORTH MUNICIPAL HOSPITAL
Other names
EMH Physicians Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLSWORTH MUNICIPAL HOSPITAL
Authorized official
MR. MICHAEL WHITE (CFO)
(641) 648-4631
Entity
Organization
Contact information
Practice address
520 TALBOTT ST STE 3, EMH PHYSICIANS CLINIC, IOWA FALLS, IA 50126-2379
(641) 648-6491
(641) 648-7088
Mailing address
520 TALBOTT ST STE 3, EMH PHYSICIANS CLINIC, IOWA FALLS, IA 50126-2379
(641) 648-6491
(641) 648-7088
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
420156H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122176
—
IA
Enumeration date
09/21/2006
Last updated
12/03/2020
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