Ackley Medical Center
Organization Active NPI Family Nurse Practitioner · Ackley, IA
NPI 1124307129 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1124307129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 118827 (IA)
- Legal business name
- ACKLEY MEDICAL CENTER
- Practice address
- 1000 10TH Ave
Ackley, IA 50601-1701 - Phone
- (641) 847-2625
- Fax
- (641) 847-2509
- NPI assigned
- Aug 8, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- ELLSWORTH MUNICIPAL HOSPITAL
Authorized official
- Name
- Darla Sue Nederhoff
- Title
- Clinic Manager
- Phone
- (641) 847-2625
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Lance F Yeoman DO
- Part of
- Lance F Yeoman DO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 118827 | IA | Yes |
Addresses
Primary practice location
1000 10TH Ave
Ackley, IA 50601-1701
Mailing address
1000 10TH Ave
Ackley, IA 50601-1701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118827 | Other | IA | LICENSE NUMBER |
Other names
- A department of Ellsworth Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HIM@elmhn.cernerdirect.com | Direct |
Other providers in Ackley, IA
- Agwsr Community School District
- Ascend Therapeutic and Wellness Services of Iowa
- City of Ackley
- Ellsworth Municipal Hospital
- Tiffany J Gramblin
All providers in Ackley, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.