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Iowa authorities have confirmed four people were killed and at least 35 were injured in Greenfield when a fierce tornado blew through town.The tornado, tentatively rated an EF-3, ripped through Greenfield and left damage throughout the city on Tuesday afternoon. On Wednesday evening, the Iowa Department of Public Safety released an official fatality count of four deaths. The names and ages of those killed are not being released by officials at this time.According to DPS, the number of injured is "likely higher" than 35, but that number reflects only patients who were treated for injuries at designated alternate care sites. At least 14 patients were transported to other hospitals by various EMS services.MercyOne, which manages the Adair County Health System, also confirmed on Wednesday that the hospital based in Greenfield sustained significant damage and that staff and patients were evacuated after the storm. MercyOne said that there were no injuries to patients or staff inside the hospital during the storm.The Greenfield hospital will remain closed until further assessments can be completed, and it could be weeks or even months to fully repair the damage.While the hospital remains closed, Greenfield residents can receive care at several area locations:A 24/7 urgent care clinic is operating in the west wing of the Nodaway Valley Elementary School.The MercyOne Mobile Unit is on the west side of the Nodaway Valley Elementary School for the rest of the week.Primary care services will begin on Thursday at the Nodaway Valley Elementary School. Please enter through the west side of the building.For minor injuries, the ACHS Stuart Clinic is taking walk-ins.For medical emergencies, call 911.Iowa Gov. Kim Reynolds called the storm "horrific" during a Wednesday news conference in Greenfield. Officials had previously been unable to confirm the number of deaths but had said there were multiple fatalities. Previous video: Iowa Gov. Kim Reynolds says 'search and rescue' ongoing day after deadly tornadoRelated: How you can help the victims of the GreenfieldMore coverage of the May 21, 2024 storms: Iowa weather: Recapping tornadoes and more severe weather Tuesday Tornadoes rip through southwest Iowa, leaving devastating damage in GreenfieldVideo: Tornado touches down in Adams County, toppling wind turbinesVideo: Apparent tornado topples truck on Iowa highwayViewers capture video of tornadoes that ripped through southwest Iowa