Organization · Type 2 NPI

Ackley Medical Center

Family Nurse Practitioner · Ackley, IA

NPI number 1124307129 Active

Practice location

1000 10th Ave
Ackley, IA 50601-1701

Fax (641) 847-2509

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	118827 (IA)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Ellsworth Municipal HospitalFamily Medicine Physician Ackley, IA NPI 1356359061
Jennifer Lynn Jass, A.R.N.PFamily Nurse Practitioner Ackley, IA NPI 1922395607
Tiffany J. Gramblin, ARNPFamily Nurse Practitioner Ackley, IA NPI 1760849343

NPI record

NPI: 1124307129
Entity type: Organization (Type 2)
Issued: Aug 8, 2011
Last updated: Dec 3, 2020
Status: Active
Subpart: Yes of Ellsworth Municipal Hospital

Other names

<unavail>
A Department of Ellsworth Hospital · doing business as
A Department of Ellsworth Hospital · doing business as

Authorized official

Darla Sue Nederhoff
Clinic Manager
(641) 847-2625

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124307129

Ackley Medical Center's National Provider Identifier is 1124307129, issued on Aug 8, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ackley, IA. The record was last updated on Dec 3, 2020.