ELLSWORTH MUNICIPAL HOSPITAL NPI 1053738765

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1053738765 Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name ELLSWORTH MUNICIPAL HOSPITAL The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name WOMENS HEALTH CLINIC
Provider Other Organization Name Type Code 3 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider First Line Business Practice Location Address 920 S OAK ST The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address City Name IOWA FALLS
Provider Business Practice Location Address State Name IA
Provider Business Practice Location Address Postal Code 501269506 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Practice Location Address Country Code If outside U S US The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address Telephone Number 6416487044
Provider Business Practice Location Address Fax Number 6416487019 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Provider Enumeration Date 3/20/2014 The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 12/3/2020 The date that a record was last updated or changed.
Authorized Official Last Name WHITE The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name MICHAEL The first name of the authorized official.
Authorized Official Title or Position CEO The title or position of the authorized official.
Authorized Official Telephone Number 6416484631 The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1 207V00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1 420156H The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1 IA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1 Y
Healthcare Provider Taxonomy Code 2 367A00000X
Provider License Number 2 B135725 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 2 IA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2 N
Is Organization Subpart Y
Parent Organization LBN ELLSWORTH MUNICIPAL HOSPITAL
Parent Organization TIN
Authorized Official Name Prefix Text MR.
Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2 193200000X MULTI-SPECIALTY GROUP
NPI Certification Date 12/3/2020

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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