Organization Name: | ELLSWORTH MUNICIPAL HOSPITAL |
NPI Number: | 1831296052 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL WHITE (CFO) |
Mailing Address: | 920 South Oak St. Iowa Falls |
State: | IA US |
Postal Code: | 501269506 |
Phone Number: | 6416484631 |
Fax Number: | 6416487141 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 04/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 420156H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |