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
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