NPIMap

Organization Active NPI

Ellsworth Municipal Hospital

Doing business as Hansen Family Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Iowa Falls, IA
National Provider Identifier
1609930460
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
420156H Issued in IA
Legal business name
ELLSWORTH MUNICIPAL HOSPITAL
Doing business as
Hansen Family Hospital
Practice address
920 South Oak St.
Iowa Falls, IA 50126-9506
Phone
(641) 648-4631
NPI assigned
Dec 19, 2006
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ELLSWORTH MUNICPAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
George Von Mock
Title
Ceo
Phone
(641) 648-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 420156H IA Primary

Addresses

Primary practice location

920 South Oak St.
Iowa Falls, IA 50126-9506

Mailing address

920 South Oak St.
Iowa Falls, IA 50126-9506
Phone (641) 648-4631

Other identifiers 2

IdentifierTypeStateIssuer
66034OtherIABC SWING BED PROVIDER
0655878MedicaidIA

Other names 1

  • Hansen Family Hospital 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
O20070103000289 IA Part A Provider - Critical Access Hospital 2668366311 Practice locations: Iowa Falls, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609930460. Details of each certification follow.

Hospital certification: CCN 16Z380

Legal name
ELLSWORTH MUNICIPAL HOSPITAL
Doing business as
HANSEN FAMILY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
920 S Oak St
Iowa Falls, IA 50126-9507
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Emh Crna Services6 organizations share this tax ID, including this one
Part of
Emh Crna Services

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven M Howard Individual Corporate DirectorBoard Chair Apr 30, 2014 100%
George Vonmock Individual Corporate OfficerCeo Jul 1, 2021
W-2 Managing EmployeeCeo Jul 1, 2021 100%

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hansen Family HospitalIowa Falls, IA, CCN 161380 Hospital Operational/Managerial Control (100%) Nov 30, 2021
Nesco Family Medical ClinicZearing, IA, CCN 168642 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 10, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1609930460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SOUTH OAK ST.",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501269506",
            "telephone_number": "641-648-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SOUTH OAK ST.",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501269506",
            "telephone_number": "641-648-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH MUNICIPAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLSWORTH MUNICPAL HOSPITAL",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "VON MOCK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-648-7010"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IA",
            "license": "420156H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC SWING BED PROVIDER",
            "identifier": "66034",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655878",
            "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": "Hansen Family Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hansen Family Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa Falls, IA

Sources for this page

Verify at the official NPI Registry.