Organization Name: | ELLSWORTH MUNICIPAL HOSPITAL |
NPI Number: | 1306029053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL WHITE (CEO) |
Mailing Address: | 324 East Maple Street Hubbard |
State: | IA US |
Postal Code: | 501220487 |
Phone Number: | 6416483202 |
Fax Number: | 6416483203 |
NPI Enumeration Date: | 12/17/2007 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 18633 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |