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Several sites across Israel sustained direct hits by 

 Thursday, including a major hospital in the country's south, prompting sharp warnings from Israeli leaders that they would 

intensify attacks on "strategic targets" in Iran

According to a statement from Soroka Medical Center, the largest hospital in southern Israel, several people were being treated for minor injuries and cases of shock. The strike caused extensive damage to the hospital's old surgical wing, which was preemptively evacuated several days ago, according to the statement. Videos shared online showed shattered hospital rooms and black smoke pouring from the facility.

 that the missile was aimed at a military target nearby and denied intentionally hitting the hospital.

Israeli Prime Minister Benjamin Netanyahu vowed retribution for the attack.

"This morning, Iran's terrorist tyrants launched missiles at Soroka Hospital in Beersheba and at a civilian population in the center of the country," he 

. "We will exact the full price from the tyrants in Tehran."

Israeli Defense Minister Israel Katz called the strike a "war crime," and said Iran's Supreme Leader Ayatollah Ali Khamenei "

Other missiles hit a high-rise building and other residential buildings near Tel Aviv.

Katz said he and Netanyahu had instructed the Israeli military to intensify its strikes on strategic and government targets in Tehran, as part of a broader effort to undermine Iran's regime.

 have been launched at Israeli territory since the conflict began Friday. As of Wednesday morning, Israeli authorities reported 24 dead and 838 wounded, including 11 in serious condition and dozens more suffering moderate or light injuries.

Israel's emergency services, Magen David Adom, 

 three people were in serious condition from Thursday's blasts, including an elderly man and two women. An additional 42 civilians were wounded by shrapnel or blasts, and 18 more were hurt while running to shelters.

Israel's strikes on Iran, meanwhile, have killed more than 200 people, according to Iran's Health Ministry. But an independent group called the Human Rights Activists News Agency 

 it has counted 639 dead in Iran based on nongovernmental sources.

Israel also continued its strikes on Iran overnight into Thursday, with the Israeli military 

 it struck the Arak heavy water reactor. The International Atomic Energy Agency 

 — which it called the "Khondab (former Arak) heavy water research reactor" — was "not operational and contained no nuclear material," so there was no risk of "radiological effects."

It was the latest move targeting Iran's nuclear infrastructure since Israel launched its surprise attack seven days ago, as expectation grows that the United States could intervene militarily in Iran.

President Trump has so far declined to say whether the U.S. would join Israel in striking Iran's nuclear sites.

"We're the only ones that have the capability to do it — but that doesn't mean I'm going to do it," he told reporters in the Oval office after an unrelated event Wednesday.

"I have ideas as to what to do. I like to make the final decision one second before it's due because things change, especially with war," he said. Earlier in the week he 

 Wednesday that any U.S. military intervention would bring "irreversible consequences." In a nationally broadcast address, the Iranian leader said the nation would not surrender, and would resist an "imposed war" just as it would resist an "imposed peace."

 is "participating in the protection of the skies over Israel and its cities with THAAD missile batteries that are in Israel, with Aegis ships that are on the shore of Israel, with their pilots that are fighting alongside our pilots to knock out drones."

 the country would welcome interventions from "nations" — without naming the U.S. — and "anything that helps eradicate the Iranian nuclear program completely." 

NPR's Hadeel Al-Shalchi, Daniel Estrin, and Itay Stern contributed to this report from Tel Aviv.

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Rebecca Rosman

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Officials said they were still assessing “extensive damage” at a major hospital in southern Israel after it was struck by an Iranian missile early Thursday.

Israel vows to intensify attacks after Iranian missile hits major hospital

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