Organization
MONTGOMERY COUNTY MEMORIAL HOSPITAL
Active
Other names
Villisca Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RONNEL K BADERTSCHER (BUSINESS OFFICE MANAGER)
(712) 623-7156
Entity
Organization
Contact information
Practice address
301 E 4TH ST, VILLISCA, IA 50864-1146
(712) 826-4422
(712) 826-2052
Mailing address
301 E 4TH ST, VILLISCA, IA 50864-1146
(712) 826-4422
(712) 826-2052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
690075H
IA
Other
Enumeration date
02/08/2006
Last updated
08/22/2020
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