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
DOUGLAS EUGENE MORSE (CEO)
(641) 648-7010
Entity
Organization
Contact information
Practice address
322 1/2 COLLEGE AVE, IOWA FALLS, IA 50126-2106
(641) 648-3202
(641) 648-3203
Mailing address
322 1/2 COLLEGE AVE, IOWA FALLS, IA 50126-2106
(641) 648-3202
(641) 648-3203
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
18633
IA
363LF0000X
Family Nurse Practitioner
A1221491
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1129163
—
IA
01
—
I15574
MEDICARE GROUP
IA
01
—
I15576
MEDICARE
IA
Enumeration date
01/10/2008
Last updated
12/03/2020
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