ELLSWORTH MUNICIPAL HOSPITAL (NPI# 1043229735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043229735 |
Entity Type | Organization |
Organization Name | ELLSWORTH MUNICIPAL HOSPITAL |
Other Organization Name | IOWA FALLS CLINIC |
Practice Address |
920 South Oak St Suite 1 Iowa Falls IA 50126-9506 |
Practice Telephone | 6416487100 |
Practice Fax Number | 6416487095 |
Mailing Telephone | 6416487101 |
Mailing Fax Number | 6416487095 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-07-01 |
Authorized Official Name | DOUGLAS EUGENE MORSE (CEO) |
Authorized Official Telephone | 6416487000 |
Is Organization Subpart | Y |
Parent Organization Name | ELLSWORTH MUNICIPAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | TAX ID | 421467712 | 01 |
Other Name | Type Code |
---|---|
IOWA FALLS CLINIC | Doing Business As Name - Organization |
Iowa Falls Clinic | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306029053 | Ellsworth Municipal Hospital | Clinic/Center | 324 East Maple Street, Hubbard, IA 50122-0487 | 2007-12-17 |
1568514297 | Ellsworth Municipal Hospital | Family Medicine | 322 1-2 College Avenue, Iowa Falls, IA 50126 | 2007-01-16 |
1972667731 | Ellsworth Municipal Hospital | Psychiatric Unit | 110 Rocksylvania Ave, Iowa Falls, IA 50126-2431 | 2006-12-19 |
1184723702 | Ellsworth Municipal Hospital | Clinic/Center | 520 Talbott St Ste 3, Emh Physicians Clinic, Iowa Falls, IA 50126-2379 | 2006-09-21 |
1831296052 | Ellsworth Municipal Hospital | General Acute Care Hospital | 920 South Oak St., Iowa Falls, IA 50126-9506 | 2006-09-20 |
1144853516 | Ellsworth Municipal Hospital | Clinic/Center | 112 W Main St, Zearing, IA 50278-7728 | 2020-02-13 |
1003398835 | Ellsworth Municipal Hospital | Family Medicine | 112 W Main St, Zearing, IA 50278-7728 | 2018-08-29 |
1053738765 | Ellsworth Municipal Hospital | Advanced Practice Midwife | 920 S Oak St, Iowa Falls, IA 50126-9506 | 2014-03-20 |
1588840466 | Ellsworth Municipal Hospital | Nurse Practitioner | 322 1/2 College Ave, Iowa Falls, IA 50126-2106 | 2008-01-10 |
1609930460 | Ellsworth Municipal Hospital | Medicare Defined Swing Bed Unit | 920 South Oak St., Iowa Falls, IA 50126-9506 | 2006-12-19 |
Street Address |
920 SOUTH OAK ST SUITE 1 |
City | IOWA FALLS |
State | IA |
Zip Code | 50126-9506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568514297 | Ellsworth Municipal Hospital | Family Medicine | 322 1-2 College Avenue, Iowa Falls, IA 50126 | 2007-01-16 |
1265594568 | Mark Bradley Hanson | Chiropractor | 215 Ohio Avenue, Iowa Falls, IA 50126 | 2006-12-14 |
1285047951 | Brian Vold | Nurse Practitioner | 814 Railroad St, Iowa Falls, IA 50126 | 2014-06-10 |
1821394529 | Quinn A Hoversten | Dentist | 1907 Washington Avenue, Iowa Falls, IA 50126 | 2011-01-28 |
1295824084 | Craig E Miller | Dentist | 701 Washington Ave, Iowa Falls, IA 50126 | 2006-10-12 |
1558321075 | Aaron M. Heiar | Family Medicine | 701 Washington Ave, Mcfarland Clinic PC, Iowa Falls, IA 50126 | 2006-03-27 |
1154983369 | Felicia M Ledbetter | Social Worker | 1903 Taylor Ave, Iowa Falls, IA 50126-1050 | 2019-07-08 |
1245437409 | Iowa Falls Community School District | Local Education Agency (LEA) | 710 North St, Iowa Falls, IA 50126-1148 | 2007-06-29 |
1366437188 | Scenic Living Communities, Inc. | Skilled Nursing Facility | 1409 N Fremont St, Iowa Falls, IA 50126-1395 | 2005-09-19 |
1841810645 | Brenda J Lugo | Student in an Organized Health Care Education/Training Program | 810 Pierce St, Iowa Falls, IA 50126-1417 | 2020-04-21 |
Find all providers in zip 50126 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568514297 | Ellsworth Municipal Hospital | Family Medicine | 322 1-2 College Avenue, Iowa Falls, IA 50126 | 2007-01-16 |
1205283041 | Craig Gibson | Family Medicine | 920 S Oak St Ste 1, Iowa Falls, IA 50126-9506 | 2016-05-23 |
1760861553 | Mahnaz Behdad | Family Medicine | 920 S Oak St, Iowa Falls, IA 50126-9506 | 2015-05-26 |
1316139769 | Abigail M. Hemken | Family Medicine | 701 Washington Ave, Mcfarland Clinic PC, Iowa Falls, IA 50126-2100 | 2007-08-09 |
1922118090 | Francis Louis Pisney | Family Medicine | 322 1/2 College Ave, Iowa Falls, IA 50126-2106 | 2006-08-30 |
1740293588 | Gregory L Ogaard | Family Medicine | 920 South Oak Street, Suite 1, Iowa Falls, IA 50126-9506 | 2006-08-14 |
1861401572 | David L Vangorp | Family Medicine | 920 South Oak Street, Suite 1, Iowa Falls, IA 50126-9506 | 2006-08-05 |
1205845922 | Joseph A Brunkhorst | Family Medicine | 920 South Oak Street, Suite 1, Iowa Falls, IA 50126-9506 | 2006-08-05 |
1437168069 | Kathleen E Haverkamp | Family Medicine | 920 South Oak Street, Suite 1, Iowa Falls, IA 50126-9506 | 2006-08-05 |
1558321075 | Aaron M. Heiar | Family Medicine | 701 Washington Ave, Mcfarland Clinic PC, Iowa Falls, IA 50126 | 2006-03-27 |
Find all providers in IOWA FALLS |
City | IOWA FALLS |
Zip Code | 50126 |
Please comment or provide details below to improve the information on ELLSWORTH MUNICIPAL HOSPITAL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.