# MONTGOMERY COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONTGOMERY COUNTY MEMORIAL HOSPITAL
- **Other names:** RED OAK MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891405452
- **Legal business name:** MONTGOMERY COUNTY MEMORIAL HOSPITAL
- **Authorized official:** RONALD G KLOEWER (ADMINISTRATOR/CEO)
- **Authorized official phone:** (712) 623-7000

## Contact information

- **Practice address:** 1400 SENATE AVE STE 108 & 103, RED OAK, IA 51566-1271
- **Practice address phone:** (712) 623-7280
- **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 |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 12/06/2022