Organization
ELLSWORTH MUNICIPAL HOSPITAL
Active
Parent organization
ELLSWORTH MUNICIPAL HOSPITAL
Other names
Ellsworth Family Medicine
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
322 1-2 COLLEGE AVENUE, IOWA FALLS, IA 50126
(641) 648-3202
(641) 648-3203
Mailing address
322 1-2 COLLEGE AVENUE, IOWA FALLS, IA 50106
(641) 648-3202
(641) 648-3203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922118090
NPI
IA
Enumeration date
01/16/2007
Last updated
12/03/2020
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