Organization Name: | ELLSWORTH MUNICIPAL HOSPITAL |
NPI Number: | 1588840466 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL WHITE (CFO) |
Mailing Address: | 322 1/2 College Ave Iowa Falls |
State: | IA US |
Postal Code: | 501262106 |
Phone Number: | 6416483202 |
Fax Number: | 6416483203 |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A1221491 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |