Organization
ELLSWORTH MUNICIPAL HOSPITAL
Active
Parent organization
ELLSWORTH MUNICIPAL HOSPITAL
Other names
MENTAL HEALTH
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
110 ROCKSYLVANIA AVE, IOWA FALLS, IA 50126-2431
(641) 648-4631
(641) 648-2850
Mailing address
110 ROCKSYLVANIA AVE, IOWA FALLS, IA 50126-2431
(641) 648-4631
(641) 648-2850
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
420156H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600346
—
IA
01
—
60034
BLUE CROSS MH PROVIDER
IA
Enumeration date
12/19/2006
Last updated
12/03/2020
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