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: July 19, 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 a CLIA Waiver certificate valid through October 16, 2026 and lists Mark Woodring, Ceo, as its authorized official.Information from the official NPPES registry record, last updated September 12, 2007.

NPPES Registry Identity

NPI1124109558
Entity TypeOrganization
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
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. How NPI validation works

Primary Specialty

Clinic/Center · Rural Health

Taxonomy 261QR1300X · Ambulatory Health Care Facilities

4022 MAIN STREET, Elk Horn, IA 51531

Also on File with NPPES

Other Names1
Myrtue Medical Center-ge Larson Elk Horn Kimballton Medical Clinic (Doing Business As)
Other Identifiers1
5582420004 (Medicare OSCAR/certification)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D0701679
Facility Type
Physician Office
Certificate Effective Date
October 17, 2024
Certificate Expiration Date
October 16, 2026
Laboratory Director
BRIAN ANDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Myrtue Medical Center-ge Larson Elk Horn Kimballton Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MYRTUE MEDICAL CENTER-GE LARSON ELK HORN KIMBALLTON MEDICAL CLINIC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Rural Health)
4022 MAIN STREET
ELK HORN, IA 51531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124109558, enumerated as an "organization" on October 19, 2006.

The provider is located at 4022 MAIN STREET ELK HORN, IA 51531 and the phone number is (712) 764-4642.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.