Organization
ELLSWORTH MUNICIPAL HOSPITAL
Active
Parent organization
ELLSWORTH MUNICIPAL HOSPITAL
Other names
ACKLEY MEDICAL CENTER
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
1000 10TH AVE, ACKLEY, IA 50601-1701
(641) 847-2625
(641) 847-2509
Mailing address
1000 10TH AVENUE, ACKLEY, IA 50601-1456
(641) 847-2625
(641) 847-2509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442764
—
IA
01
—
I12852
MEDICARE-PTAN
IA
Enumeration date
08/04/2006
Last updated
11/25/2024
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