NPIMap

Organization Active NPI

Ellsworth Municipal Hospital

Doing business as EMH Physicians Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iowa Falls, IA
National Provider Identifier
1184723702
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
420156H Issued in IA
Legal business name
ELLSWORTH MUNICIPAL HOSPITAL
Doing business as
EMH Physicians Clinic
Practice address
520 Talbott St Ste 3
Emh Physicians Clinic
Iowa Falls, IA 50126-2379
Phone
(641) 648-6491
Fax
(641) 648-7088
NPI assigned
Sep 21, 2006
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ELLSWORTH MUNICIPAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Mr. Michael White
Title
Cfo
Phone
(641) 648-4631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 420156H IA Primary

Addresses

Primary practice location

520 Talbott St Ste 3
Emh Physicians Clinic
Iowa Falls, IA 50126-2379

Mailing address

520 Talbott St Ste 3
Emh Physicians Clinic
Iowa Falls, IA 50126-2379
Phone (641) 648-6491

Other identifiers 1

IdentifierTypeStateIssuer
0122176MedicaidIA

Other names 1

  • EMH Physicians Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HIM@elmhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000269 IA Part B Supplier - Clinic/Group Practice 2668366311 Receives reassigned benefits from 39 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ackley, IA; Iowa Falls, IA; Zearing, IA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Lance F Yeoman DO

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1184723702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TALBOTT ST STE 3",
            "address_2": "EMH PHYSICIANS CLINIC",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501262379",
            "telephone_number": "641-648-6491",
            "fax_number": "641-648-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 TALBOTT ST STE 3",
            "address_2": "EMH PHYSICIANS CLINIC",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501262379",
            "telephone_number": "641-648-6491",
            "fax_number": "641-648-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH MUNICIPAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLSWORTH MUNICIPAL HOSPITAL",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-648-4631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IA",
            "license": "420156H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122176",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@elmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Hansen Family Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "920 S Oak St",
            "city": "Iowa Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501269506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EMH Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EMH Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.