Organization
ELLSWORTH MUNICIPAL HOSPITAL
Active
Organization
ELLSWORTH MUNICIPAL HOSPITAL
Active
Parent organization
ELLSWORTH MUNICPAL HOSPITAL
Other names
Hansen Family Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLSWORTH MUNICPAL HOSPITAL
Authorized official
GEORGE VON MOCK (CEO)
(641) 648-7010
Entity
Organization
Contact information
Practice address
920 SOUTH OAK ST., IOWA FALLS, IA 50126-9506
(641) 648-4631
Mailing address
920 SOUTH OAK ST., IOWA FALLS, IA 50126-9506
(641) 648-4631
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
420156H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655878
—
IA
01
—
66034
BC SWING BED PROVIDER
IA
Enumeration date
12/19/2006
Last updated
11/25/2024
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