# MONTGOMERY COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONTGOMERY COUNTY MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265405310
- **Legal business name:** MONTGOMERY COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MICHAEL C ONEAL (ADMINISTRATOR/CEO)
- **Authorized official phone:** (712) 623-7142

## Contact information

- **Practice address:** 2301 EASTERN AVE, RED OAK, IA 51566-1305
- **Practice address phone:** (712) 623-7000
- **Practice address fax:** (712) 623-7224
- **Mailing address:** PO BOX 498, RED OAK, IA 51566-0498
- **Mailing address phone:** (712) 623-7000
- **Mailing address fax:** (712) 623-7224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 04/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0092577 | — | IA |