Organization Name: | MONTGOMERY COUNTY MEMORIAL HOSPITAL |
NPI Number: | 1255447546 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLEN E. POHREN (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 2301 Eastern Avenue Red Oak |
State: | IA US |
Postal Code: | 515661305 |
Phone Number: | 7126237194 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 02/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |