| Ellsworth Family Medicine | |
|
322 1/2 College Ave Iowa Falls IA 50126-2106 | |
| (641) 648-3202 | |
| (641) 648-3203 |
| Full Name | Ellsworth Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 322 1/2 College Ave, Iowa Falls, Iowa |
| Authorized Official Name and Position | Douglas Eugene Morse (CEO) |
| Authorized Official Contact | 6416487010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellsworth Family Medicine 322 1/2 College Ave Iowa Falls IA 50126-2106 Ph: (641) 648-3202 | Ellsworth Family Medicine 322 1/2 College Ave Iowa Falls IA 50126-2106 Ph: (641) 648-3202 |
| NPI Number | 1588840466 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588840466 | NPI | - | NPPES |
| I15574 | Other | IA | MEDICARE GROUP |
| I15576 | Other | IA | MEDICARE |
| 1129163 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 18633 (Iowa) | Primary |
| 363LF0000X | Nurse Practitioner - Family | A1221491 (Iowa) | Secondary |
Iowa Falls Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 920 South Oak St, Suite 1, Iowa Falls, IA 50126 Phone: 641-648-7100 Fax: 641-648-7095 | |
Your Time Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 Washington Ave, Iowa Falls, IA 50126 Phone: 641-316-1112 Fax: 641-206-0429 | |
Ellsworth Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 1-2 College Avenue, Iowa Falls, IA 50126 Phone: 641-648-3202 Fax: 641-648-3203 |