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ELLSWORTH MUNICIPAL HOSPITAL NPI 1003398835


NPI Information

NPI: 1003398835
Provider Name: ELLSWORTH MUNICIPAL HOSPITAL

Doing Business As: NESCO FAMILY MEDICAL CLINIC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 16D2156233

Address:
112 W MAIN ST
ZEARING, IA
ZIP 50278
Phone: (641) 487-7800
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ELLSWORTH MUNICIPAL HOSPITAL is a family nurse practitioner in Zearing, IA. ELLSWORTH MUNICIPAL HOSPITAL NPI is 1003398835. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nesco Family Medical Clinic.

The provider's business location address is:

112 W MAIN ST
ZEARING, IA
ZIP 50278-728
Phone: (641) 487-7800
Fax: (641) 487-7803

The provider's authorized official is Douglas Eugene Morse .
The authorized official title is Ceo and has the following contact phone number (641) 648-7010.

The CLIA number assigned to this NPI record is 16D2156233 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2018 and was last updated on 12/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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