ELLSWORTH MUNICIPAL HOSPITAL (NPI# 1972667731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972667731 |
| Entity Type | Organization |
| Organization Name | ELLSWORTH MUNICIPAL HOSPITAL |
| Other Organization Name | MENTAL HEALTH |
| Practice Address |
110 Rocksylvania Ave Iowa Falls IA 50126-2431 |
| Practice Telephone | 6416484631 |
| Practice Fax Number | 6416482850 |
| Mailing Telephone | 6416484631 |
| Mailing Fax Number | 6416482850 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | MR. MICHAEL WHITE (CFO) |
| Authorized Official Telephone | 6416484631 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELLSWORTH MUNICIPAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 420156H | IA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS MH PROVIDER | 60034 | 01 |
| IA | 0600346 | 05 |
| Other Name | Type Code |
|---|---|
| MENTAL HEALTH | Former Legal Business Name - 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 |
| 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 |
| 1043229735 | Ellsworth Municipal Hospital | Physician Assistant | 920 South Oak St, Suite 1, Iowa Falls, IA 50126-9506 | 2006-08-05 |
| 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 |
110 ROCKSYLVANIA AVE |
| City | IOWA FALLS |
| State | IA |
| Zip Code | 50126-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316232721 | Michelle Kay Anderson | Nurse Practitioner | 110 Rocksylvania Ave, Iowa Falls, IA 50126-2431 | 2011-06-14 |
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548646029 | Equality Through Community | Psychiatric Unit | 2525 Princeton Rd, Iowa City, IA 52245-3721 | 2015-08-06 |
| 1356743009 | Mary K Corbin | Psychiatric Unit | 826 Rundell St, Iowa City, IA 52240-6254 | 2014-09-24 |
| 1578002382 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-02-14 |
| 1548681091 | Rchp - Ottumwa LLC | Psychiatric Unit | 1001 Pennsylvania Ave, Attn: Facility Ceo, Ottumwa, IA 52501-2186 | 2013-12-31 |
| 1649523580 | Mercy Iowa City | Psychiatric Unit | 500 E Market St, Psychiatry 4 North, Iowa City, IA 52245-2633 | 2012-10-16 |
| 1275803470 | Tms of Iowa, LLC | Psychiatric Unit | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2012-01-04 |
| 1710276183 | Genesis Health System | Psychiatric Unit | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2011-04-06 |
| 1437384799 | Alegent Health Bergan Mercy Health System | Psychiatric Unit | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2009-05-15 |
| 1821127572 | Mercy Medical Center - Clinton, Inc. | Psychiatric Unit | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-05 |
| 1902943970 | Ottumwa Regional Health Center, Inc | Psychiatric Unit | 312 E Alta Vista Ave, Ottumwa, IA 52501-1413 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
| City | IOWA FALLS |
| Zip Code | 50126 |
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| 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.