Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MONTGOMERY COUNTY MEMORIAL HOSPITAL
Active
Organization
MONTGOMERY COUNTY MEMORIAL HOSPITAL
Active
Other names
WAIVER
Organization subpart
No
Provider details
NPI number
Authorized official
RONNEL BADERTSCHER (BUSINESS OFFICE MANAGER)
(712) 623-7156
Entity
Organization
Contact information
Practice address
2301 EASTERN AVE, RED OAK, IA 51566-0498
(712) 623-7156
(712) 623-7224
Mailing address
PO BOX 498, RED OAK, IA 51566-0498
(712) 623-7156
(712) 623-7224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
690075H
IA
332U00000X
Home Delivered Meals
690075H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164715
—
IA
Enumeration date
02/22/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up