| Organization Name: | MONTGOMERY COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1376539338 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALLEN E. POHREN (CEO) |
| Mailing Address: | 2301 Eastern Ave Red Oak |
| State: | IA US |
| Postal Code: | 515661305 |
| Phone Number: | 7126237000 |
| Fax Number: | 7126237224 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 11/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 690075H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |