NPIMap

Organization Active NPI

Shelby County Chris a. Myrtue Memorial Hospital

Doing business as Myrtue Medical Center-GE Larson Elk Horn Kimballton Medical Clinic

  • Rural Health Clinic/Center
  • Elk Horn, IA
National Provider Identifier
1124109558
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL
Doing business as
Myrtue Medical Center-GE Larson Elk Horn Kimballton Medical Clinic
Practice address
4022 Main Street
Elk Horn, IA 51531
Phone
(712) 764-4642
Fax
(712) 764-4643
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark Woodring
Title
Ceo
Phone
(712) 755-4316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

4022 Main Street
Elk Horn, IA 51531

Mailing address

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161

Other names 1

  • Myrtue Medical Center-GE Larson Elk Horn Kimballton Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Myrtue Memorial Hospita13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1124109558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GARFIELD AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372057",
            "telephone_number": "712-755-5161",
            "fax_number": "712-755-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 MAIN STREET",
            "city": "ELK HORN",
            "state": "IA",
            "postal_code": "51531",
            "telephone_number": "712-764-4642",
            "fax_number": "712-764-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "WOODRING",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-755-4316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtue Medical Center-GE Larson Elk Horn Kimballton Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Horn, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.