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MYRTUE MEDICAL CENTER-GE LARSON ELK HORN KIMBALLTON MEDICAL CLINIC
NPI 1124109558
Clinic/Center - Rural Health in Elk Horn, IA

Active since October 19, 2006CLIA Certified · 2 labs
4022 MAIN STREET, ELK HORN, IA 51531(712) 764-4642(712) 764-4643 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Myrtue Medical Center-ge Larson Elk Horn Kimballton Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRTUE MEDICAL CENTER-GE LARSON ELK HORN KIMBALLTON MEDICAL CLINIC (NPI 1124109558) is a healthcare organization registered as a rural health in Elk Horn, Iowa and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Mark Woodring, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124109558
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL
Location Address4022 MAIN STREETElk Horn, IA 51531
Mailing Address1213 Garfield AveHarlan, IA 51537-2057 · (712) 755-5161 · Fax (712) 755-4312
Phone(712) 764-4642
Fax(712) 764-4643
Organization SubpartNo
Authorized OfficialMark WoodringCeo · (712) 755-4316
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 12, 2007
✔ NPI 1124109558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
4022 MAIN STREET, Elk Horn, IA 51531
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Other Names 1

Doing Business AsMyrtue Medical Center-ge Larson Elk Horn Kimballton Medical Clinic

Other Identifiers 1

Medicare OSCAR/certification5582420004

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0701679

Myrtue Medical Center Ge Larson Elkhorn-Kimballton Clinic · Elk Horn, IA
Active · expires Oct 16, 2026
CLIA Number16D0701679
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorBrian Anderson
Laboratory Phone(712) 764-4642
Laboratory LocationMyrtue Medical Center Ge Larson Elkhorn-Kimballton Clinic4022 Main Street, Elk Horn, IA 51531
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 16D0648060

Myrtue Medical Center Laboratory · Harlan, IA
Active · expires Apr 11, 2027
CLIA Number16D0648060
Laboratory TypeHospital
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorScott A. Markham
Laboratory Phone(712) 755-4334
Laboratory LocationMyrtue Medical Center Laboratory1213 Garfield Avenue, Harlan, IA 51537
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
4022 MAIN STREET
ELK HORN, IA 51531
Shelby County (712) 764-4642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby County Chris A. Myrtue Memorial Hospital's NPI number?

The NPI number for Shelby County Chris A. Myrtue Memorial Hospital is 1124109558. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Myrtue Medical Center-Ge Larson Elk Horn Kimballton Medical Clinic.

Where is Shelby County Chris A. Myrtue Memorial Hospital located?

Shelby County Chris A. Myrtue Memorial Hospital is located at 4022 Main Street, Elk Horn, IA 51531. The listed phone number is (712) 764-4642.

What is Shelby County Chris A. Myrtue Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Shelby County Chris A. Myrtue Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Shelby County Chris A. Myrtue Memorial Hospital was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.