| Organization Name: | ELLSWORTH MUNICIPAL HOSPITAL |
| NPI Number: | 1184723702 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL WHITE (CFO) |
| Mailing Address: | 520 Talbott St Ste 3 Emh Physicians Clinic Iowa Falls |
| State: | IA US |
| Postal Code: | 501262379 |
| Phone Number: | 6416486491 |
| Fax Number: | 6416487088 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 03/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 420156H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |