Organization
MONTGOMERY COUNTY MEMORIAL HOSPITAL
Active
Parent organization
MONTGOMERY COUNTY MEMORIAL HOSPITAL
Other names
Heartland Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY COUNTY MEMORIAL HOSPITAL
Authorized official
MR. DAVID E ABERCROMBIE (ADMINISTRATOR/CEO)
(712) 623-7000
Entity
Organization
Contact information
Practice address
2301 EASTERN AVENUE, RED OAK, IA 51566-1305
(712) 623-7194
Mailing address
PO BOX 498, RED OAK, IA 51566-0498
(712) 623-7194
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615476
—
IA
05
—
0672030
—
IA
Enumeration date
08/21/2006
Last updated
12/18/2017
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